Individual provider Active NPI

Kunal Manmohan Patel, M.D.

  • Cardiovascular Disease Physician
  • Secaucus, NJ
National Provider Identifier
1376960591
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA09629900 Issued in NJ
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

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
81-2728976OtherNJNJ 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829003351 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8426321308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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

OrganizationSpecialtyStatusNew patients
NJ Cardiovascular Institute LLC Cardiovascular Disease CurrentSince Jul 10, 2017 Accepting new patients
Cardio Pulmonary Diagnostic LLC Cardiovascular Disease CurrentSince Dec 1, 2019 Accepting new patients
North Jersey Diagnostics Center, LLC CurrentSince Jun 1, 2018 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.

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

Verify at the official NPI Registry.