Individual provider Active NPI

Radhika Patel, NP

  • Family Nurse Practitioner
  • Hackettstown, NJ
National Provider Identifier
1356831291
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009027 Issued in CA
Practice address
657 Willow Grove St Ste 401
Hackettstown, NJ 07840-1868
Phone
(908) 850-7800
Fax
(908) 850-7801
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009027 CA Primary

Addresses

Primary practice location

657 Willow Grove St Ste 401
Hackettstown, NJ 07840-1868

Mailing address

657 Willow Grove St Ste 401
Hackettstown, NJ 07840-1868
Phone (908) 850-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626004654 NJ Practitioner - Nurse Practitioner 6507339868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 W Gilbert St
Tinton Falls, NJ 07701-4948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009027CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Family Care PC CurrentSince May 11, 2025 Accepting new patients

Locations

657 Willow Grove St
Ste 401
Hackettstown, NJ 07840
Phone (908) 850-0017

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1506
  • Direct secure messaging: one.provider.p1@direct.gspa.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1356831291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 WILLOW GROVE ST STE 401",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401868",
            "telephone_number": "908-850-7800",
            "fax_number": "908-850-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 WILLOW GROVE ST STE 401",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401868",
            "telephone_number": "908-850-7800",
            "fax_number": "908-850-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RADHIKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.