Individual provider Active NPI

Keya Patel, R.D., CNSC

  • Registered Dietitian
  • Hamilton Square, NJ
National Provider Identifier
1417284753
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
966656 Issued in NJ
Practice address
2103 Klockner Road
Patel Medical Group
Hamilton Square, NJ 08690
Phone
(609) 992-4776
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 966656 NJ Primary

Addresses

Primary practice location

2103 Klockner Road
Patel Medical Group
Hamilton Square, NJ 08690

Mailing address

34 Carnation Rd
Monroe, NJ 08831-5335
Phone (609) 992-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000470 NJ Practitioner - Registered Dietitian Or Nutrition Professional 0446391858 Practice locations: Monroe, NJ

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Carnation Rd
Monroe, NJ 08831-5335

Ruhin Nutrition Consulting LLC
34 Carnation Road
Monroe, NJ 08831-5335
Phone (609) 992-4776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
966656NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ruhin Nutrition Consulting LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1417284753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CARNATION RD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088315335",
            "telephone_number": "609-992-4776",
            "fax_number": "609-371-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 KLOCKNER ROAD",
            "address_2": "PATEL MEDICAL GROUP",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-992-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KEYA",
        "name_prefix": "Mrs.",
        "credential": "R.D., CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "966656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Square, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.