NPIMap

Individual provider Active NPI

Gaurang Ramanbhai Patel, M.D.

  • Pediatrics Physician
  • Avenel, NJ
National Provider Identifier
1396788980
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07434900 Issued in NJ
Practice address
1500 Saint Georges Ave
Avenel, NJ 07001-1000
Phone
(732) 382-8111
Fax
(732) 382-0292
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA07434900 NJ Primary

Addresses

Primary practice location

1500 Saint Georges Ave
Avenel, NJ 07001-1000

Mailing address

1500 Saint Georges Ave
Avenel, NJ 07001-1000
Phone (732) 382-8111

Other practice location 1

326 Main St
Metuchen, NJ 08840-2431
Phone (732) 767-0630

Other practice location 2

1817 Oak Tree Rd
Edison, NJ 08820-2791
Phone (732) 516-1010

Other practice location 3

751 Convery Blvd
Perth Amboy, NJ 08861-2525
Phone (732) 442-6995

Other identifiers 1

IdentifierTypeStateIssuer
0010243MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07434900NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colonia Pediatrics, LLC Pediatrics Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1396788980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011000",
            "telephone_number": "732-382-8111",
            "fax_number": "732-382-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011000",
            "telephone_number": "732-382-8111",
            "fax_number": "732-382-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Main St",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088402431",
            "country_code": "US",
            "telephone_number": "732-767-0630",
            "fax_number": "732-767-3070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1817 Oak Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202791",
            "country_code": "US",
            "telephone_number": "732-516-1010",
            "fax_number": "732-494-1737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Convery Blvd",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088612525",
            "country_code": "US",
            "telephone_number": "732-442-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "GAURANG",
        "middle_name": "RAMANBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07434900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010243",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.