Active NPI
Kunal Manmohan Patel, M.D.
- Cardiovascular Disease Physician
- Secaucus, NJ
National Provider Identifier
1376960591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA09629900
- Practice address
- 1265 Paterson Plank Rd Ste 2E
Secaucus, NJ 07094-3242 - Phone
- (201) 866-7000
- Fax
- (201) 866-7800
- NPI assigned
- Mar 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09629900 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA09629900 | NJ | Primary |
Addresses
Primary practice location
1265 Paterson Plank Rd Ste 2E
Secaucus, NJ 07094-3242
Mailing address
69 Roosevelt Dr
Wood Ridge, NJ 07075-2500
Phone (973) 767-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-2728976 | Other | NJ | NJ CARDIOVASCULAR INSTITUTE LLC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1265 Paterson Plank Rd
Suite 2E
Secaucus, NJ 07094-3279
Phone (201) 866-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Cardiovascular Institute LLC | Cardiovascular Disease | Current | Accepting new patients |
| Cardio Pulmonary Diagnostic LLC | Cardiovascular Disease | Current | Accepting new patients |
| North Jersey Diagnostics Center, LLC | Current | Accepting new patients |
Locations
1265 Paterson Plank Rd
Ste 2E
Secaucus, NJ 07094
Phone (201) 216-3055
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Secaucus, NJ
- NPI 1265962187
-
- Cardiovascular Disease Physician
- Elizabeth, NJ
- NPI 1023112638
-
- Sleep Disorder Diagnostic Clinic/Center
- Wayne, NJ
- NPI 1205930724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1376960591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ROOSEVELT DR",
"city": "WOOD RIDGE",
"state": "NJ",
"postal_code": "070752500",
"telephone_number": "973-767-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 PATERSON PLANK RD STE 2E",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070943242",
"telephone_number": "201-866-7000",
"fax_number": "201-866-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUNAL",
"middle_name": "MANMOHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09629900",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA09629900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ CARDIOVASCULAR INSTITUTE LLC",
"identifier": "81-2728976",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.