Mitul P Patel, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03283400 Issued in NJ

Practice address

45 S Martine Ave
Fanwood, NJ 07023-1216

Phone

(908) 680-6936

Fax

(908) 680-6937

NPI assigned

Sep 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Fanwood RX Corp

  • Long Term Care Pharmacy
  • Fanwood, NJ
  • NPI 1225901374
  NPD Authorized official
• Fanwood RX Corp

  • Community/Retail Pharmacy
  • Fanwood, NJ
  • NPI 1851740401
  NPD Authorized official

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1376827154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TED LIGHT WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "848-228-9655",
            "fax_number": "908-680-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MARTINE AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231216",
            "telephone_number": "908-680-6936",
            "fax_number": "908-680-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITUL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03283400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Pathways to Success, Inc.
• Evelyn Josefa Nieves, PH.D. LCSW
• Desiree Noland
• Panther Physical Therapy and Sports
• Kathryn K Parkerton, PSY.D.
• Mona Patel, DMD
• Priya R Patel, DMD
• Tanvi Patel
• Kelly Ann Perez, PMHNP
• Deborah Petitjean, MS PT

• Pharmacist in Fanwood, NJ
• Providers in Fanwood, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.