Individual provider Active NPI

Mahendra Patel, PHARM.D.

  • Pharmacist
  • South Plainfield, NJ
National Provider Identifier
1417227281
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02653200 Issued in NJ
Practice address
1110 Hamilton Blvd
Unit 1 a
South Plainfield, NJ 07080-2000
Phone
(908) 756-3232
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02653200 NJ Primary

Addresses

Primary practice location

1110 Hamilton Blvd
Unit 1 a
South Plainfield, NJ 07080-2000

Mailing address

1110 Hamilton Blvd
Unit 1 a
South Plainfield, NJ 07080-2000

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI02653200NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy for Life LLC Current Accepting new patients
Healthy for Life LLC Current Accepting new patients

Locations

1110 Hamilton Blvd
Ste 1
South Plainfield, NJ 07080
Phone (908) 756-3232

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1417227281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HAMILTON BLVD",
            "address_2": "UNIT 1 A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HAMILTON BLVD",
            "address_2": "UNIT 1 A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802000",
            "telephone_number": "908-756-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAHENDRA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02653200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.