Active NPI
Pankaj Harji Patel, MD, FACS
- Trauma Surgery Physician
- Atlantic City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 25MA06896800
- Practice address
- 1925 Pacific Ave
Atlantic City, NJ 08401-6713 - Phone
- (609) 441-8023
- NPI assigned
- Mar 23, 2006
- Last updated
- Jun 24, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD-059559-L | PA | |
| Surgical Critical Care Physician | 2086S0102X | MD-059559-L | PA | |
| Trauma Surgery Physician | 2086S0127X | 25MA06896800 | NY | |
| Trauma Surgery Physician | 2086S0127X | 25MA06896800 | NJ | Primary |
Addresses
Primary practice location
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Mailing address
1100 Walnut St
Suite 500
Philadelphia, PA 19107-5563
Phone (215) 955-6760
Other practice location 1
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000
Other practice location 2
1100 Walnut St
Suite 500
Philadelphia, PA 19107-5563
Phone (215) 955-6750
Other practice location 3
2 Capital Way Ste 356
Pennington, NJ 08534-2521
Phone (609) 537-6000
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00251486 | Other | PA | RAILROAD MEDICARE |
| 001871486 | Medicaid | PA | |
| 1758618 | Other | PA | HIGHMARK BLUE SHIELD |
| 392055 | Other | PA | MAMSI-WMG |
| 647030 | Other | MD | CAREFIRST MD BCBS |
| 7391171 | Other | PA | AETNA |
| 8531901 | Medicaid | NJ | |
| 02316296 | Medicaid | NY | |
| 20045808 | Other | PA | AMERIHEALTH MERCY-WMG |
| 0001021401 | Medicaid | DE | |
| 63568 | Other | PA | GEISINGER |
| 683403500 | Medicaid | MD | |
| 50053498 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 170856 | Other | PA | UNISON-WMG |
| Q06003 | Medicaid | SC | |
| 1547026 | Other | PA | GATEWAY-WMG |
| 2423575000 | Other | PA | AMERIHEALTH 65 PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146
5401 Old York Rd
Philadelphia, PA 19141-3030
Phone (215) 457-4444
Hospital & facility affiliations
- Atlanticare Regional Medical Center - City Campus
- Jefferson Einstein Philadelphia Hospital
- Cape Regional Medical Center Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-059559-L | PA | MD | Surgery Physician |
| 25MA06896800 | NY | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Capital Health Multispecialty Group | Surgery | Current | Accepting new patients |
| Atlanticare Physician Group PA | Surgery | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| Capital Health Medical Group | Surgery | Current | Accepting new patients |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Surgery | Current | Accepting new patients |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Surgery | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients | |
| Albert Einstein Medical Center | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Surgery | Past | Accepting new patients |
Locations
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
2 Capital Way
Ste 356
Pennington, NJ 08534
Phone (609) 537-6000
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5401 Old York Rd
Ste 101
Philadelphia, PA 19141
Phone (215) 456-6178
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
9880 Bustleton Ave
Ste 205
Philadelphia, PA 19115
Phone (215) 676-2222
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Interoperability endpoints
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
dba ARMC Faculty Practice
- Internal Medicine Physician
- Atlantic City, NJ
- NPI 1568663250
Surgery
-
- Surgery Physician
- Trenton, NJ
- NPI 1083072342
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
dba Atlanticare Commuity Pharmacy - Atlantic City
- Community/Retail Pharmacy
- Atlantic City, NJ
- NPI 1235677378
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
dba Einstein Surgical Associates
- Surgery Physician
- Philadelphia, PA
- NPI 1922050509
-
- Neurology Physician
- Chester, PA
- NPI 1013364520
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1407816721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"address_2": "SUITE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075563",
"telephone_number": "215-955-6760",
"fax_number": "215-923-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 PACIFIC AVE",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084016713",
"telephone_number": "609-441-8023"
}
],
"practiceLocations": [
{
"address_1": "750 Brunswick Ave",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "NJ",
"postal_code": "086384143",
"country_code": "US",
"telephone_number": "609-394-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Walnut St",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075563",
"country_code": "US",
"telephone_number": "215-955-6750",
"fax_number": "215-923-8222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Capital Way Ste 356",
"address_purpose": "LOCATION",
"city": "Pennington",
"state": "NJ",
"postal_code": "085342521",
"country_code": "US",
"telephone_number": "609-537-6000",
"fax_number": "609-537-6002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PANKAJ",
"middle_name": "HARJI",
"name_prefix": "Dr.",
"credential": "MD, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD-059559-L",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "PA",
"license": "MD-059559-L",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "25MA06896800",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NJ",
"license": "25MA06896800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00251486",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001871486",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1758618",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "392055",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "647030",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7391171",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8531901",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02316296",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20045808",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001021401",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "63568",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683403500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50053498",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "170856",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q06003",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1547026",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA",
"identifier": "2423575000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.