Jayant R. Patel, MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD037709L Issued in PA

Legal business name

JAYANT R. PATEL, MD, LLC

Practice address

501 Bath Rd
Suite 209a
Bristol, PA 19007-3101

Phone

(215) 785-9595

Fax

(215) 785-9891

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jayant R Patel, MD

Title

Owner/ Physician

Phone

(215) 785-9595

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407898828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "address_2": "SUITE 209A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9595",
            "fax_number": "215-785-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "address_2": "SUITE 209A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073101",
            "telephone_number": "215-785-9595",
            "fax_number": "215-785-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYANT R. PATEL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYANT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "215-785-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037709L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "533330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5449",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J March Maquilan MD
• Lyndsay Elizabeth Jarvis-Hagstrom
• Jay Patel MD PC
• Jay Shiv Shankar LLC
• Jay Shiv Shankar LLC
• Kaitlyn Ann Jester, PT, DPT
• Anne Johnson, MA
• Patricia Johnson, LMFT
• Sandra Lynn Jorgage, O.T.
• Joseph M. Bednarek MDPC

• Family Medicine Physician in Bristol, PA
• Providers in Bristol, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.