Ricken Patel

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02496800 Issued in NJ

Practice address

63 Kresson Rd
Suite 102
Cherry Hill, NJ 08034-3200

Phone

(856) 857-0400

NPI assigned

May 24, 2012

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CLZZ Dental LLC

  • Dental Clinic/Center
  • Hillsborough, NJ
  • NPI 1063148302
  NPD Authorized official
• PA Dental LLC

  • Dentist
  • Robbinsville, NJ
  • NPI 1295249456
  NPD Authorized official

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1396005203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 OLD BEEKMAN RD",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088523117",
            "telephone_number": "732-213-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD",
            "address_2": "SUITE 102",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-857-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RICKEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02496800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priti Patel, RPH
• Priya Patel
• Radhika Patel, PHYSICAL THERAPIST (
• Rajankumar P. Patel, M.D.
• Renuka P Patel
• Rital Patel, DNP, FNP-BC
• Sapan Patel
• Sejal Ketan Patel, PHARMD
• Vimalaben M Patel
• Pathmark Stores Inc

• Dentist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.