Individual provider Active NPI

Prachi H. Patel, D.P.M

  • Podiatrist
  • Woodbury Heights, NJ
National Provider Identifier
1417396771
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00330400 Issued in NJ
Practice address
722 Mantua Pike Ste 8
Woodbury Heights, NJ 08097-1141
Phone
(856) 384-1333
Fax
(856) 384-1297
NPI assigned
Jun 20, 2013
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 274346-211 NY
Podiatrist 213E00000X 25MD00330400 NJ Primary

Addresses

Primary practice location

722 Mantua Pike Ste 8
Woodbury Heights, NJ 08097-1141

Mailing address

722 Mantua Pike Ste 8
Woodbury Heights, NJ 08097-1141
Phone (856) 384-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160811001794 NJ Practitioner - Podiatry 7416255146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harsh Patel DPM PAGroup PAC ID 7214204916, 7 clinicians

Practice addresses (Care Compare)

1130 Blackwood Clementon Rd
Unit 2
Pine Hill, NJ 08021-6966
Phone (856) 783-3366

17 White Horse Pike
Suite 10a
Haddon Heights, NJ 08035-1239
Phone (856) 546-8989

19 Maple Ave
Suite a
Woodbury Heights, NJ 08097-1128
Phone (856) 384-1333

2301 E Evesham Rd
Suite 210
Voorhees, NJ 08043-4504
Phone (856) 770-1313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions32
Removal of nail tissue2266
Removal or shaving of skin growth710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
274346-211NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harsh Patel DPM PA Podiatrist CurrentSince Jul 1, 2019 Accepting new patients
Harsh Patel DPM PA Podiatrist CurrentSince Jul 1, 2019 Accepting new patients

Locations

1130 Blackwood Clementon Rd
Unit 2
Pine Hill, NJ 08021
Phone (856) 783-3366

2301 E Evesham Rd
Ste 210
Voorhees, NJ 08043
Phone (856) 770-1313

19 Maple Ave
#A
Woodbury Heights, NJ 08097
Phone (856) 384-1333

722 Mantua Pike
Ste 8
Woodbury Hts, NJ 08097
Phone (856) 384-1333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1417396771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 MANTUA PIKE STE 8",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971141",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 MANTUA PIKE STE 8",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971141",
            "telephone_number": "856-384-1333",
            "fax_number": "856-384-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRACHI",
        "middle_name": "H.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "274346-211",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00330400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

Verify at the official NPI Registry.