Organization Active NPI

Oak Tree Patient Care PC

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1386767564
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OAK TREE PATIENT CARE PC
Practice address
1920 Oak Tree Rd Ste 201
Edison, NJ 08820-2132
Phone
(732) 516-1244
Fax
(732) 516-1255
NPI assigned
Apr 10, 2007
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Pankajkumar V Patel, MD
Title
Solo Proprietor
Phone
(732) 516-1244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1920 Oak Tree Rd Ste 201
Edison, NJ 08820-2132

Mailing address

1920 Oak Tree Rd Ste 201
Edison, NJ 08820-2132
Phone (732) 516-1244

Other names 1

  • Oak Tree Patient Care PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090331000212 NJ Part B Supplier - Clinic/Group Practice 4385701689 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0984593Oak Tree Patient Care1920 Oak Tree Road, Edison, NJ 08820Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory

Locations

1920 Oak Tree Rd
Ste 201
Edison, NJ 08820
Phone (732) 516-1244

1941 Oak Tree Rd
Ste 203
Edison, NJ 08820
Phone (732) 516-0707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1386767564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OAK TREE RD STE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202132",
            "telephone_number": "732-516-1244",
            "fax_number": "732-516-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 OAK TREE RD STE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202132",
            "telephone_number": "732-516-1244",
            "fax_number": "732-516-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE PATIENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PANKAJKUMAR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SOLO PROPRIETOR",
        "authorized_official_telephone_number": "732-516-1244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Tree Patient Care PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Oak Tree Patient Care PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.