Individual provider Active NPI

Palak Nalin Patel, P.A.

  • Physician Assistant
  • Hackensack, NJ
National Provider Identifier
1427132943
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00169000 Issued in NJ
Practice address
20 Prospect Ave Ste 703
Hackensack, NJ 07601-1963
Phone
(551) 996-4424
Fax
(551) 996-0831
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 25MP00169000 NJ
Physician Assistant 363A00000X 25MP00169000 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 703
Hackensack, NJ 07601-1963

Mailing address

237 North St
Jersey City, NJ 07307-3336
Phone (201) 988-4950

Other practice location 1

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 470-3000 ext. 3748

Other practice location 2

55 Lane Rd Ste 300
Fairfield, NJ 07004-1015
Phone (866) 349-4230

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000464 NJ Practitioner - Physician Assistant 1850495383 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Prospect Ave
Hackensack, NJ 07601-1997

20 Prospect Ave
Hackensack, NJ 07601-1999

30 Prospect Ave
Hackensack, NJ 07601-1915

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019586NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Emergency Medical Services CurrentSince Jan 4, 2025 Accepting new patients
Dimer Health Services Inc Physician Assistant CurrentSince Apr 11, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 4, 2025 Accepting new patients
Garden State Healthcare Associates, LLC Past Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Ste 703
Hackensack, NJ 07601
Phone (551) 996-4424

Interoperability endpoints

  • Direct secure messaging: palak.patel.1@24989.direct.athenahealth.com
  • Direct secure messaging: palak.patel.1@28989.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 12

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1427132943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 NORTH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073336",
            "telephone_number": "201-988-4950",
            "fax_number": "973-470-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 703",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011963",
            "telephone_number": "551-996-4424",
            "fax_number": "551-996-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Central Ave",
            "address_purpose": "LOCATION",
            "city": "East Orange",
            "state": "NJ",
            "postal_code": "070182819",
            "country_code": "US",
            "telephone_number": "973-470-3000 x3748",
            "fax_number": "973-470-3506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lane Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "NJ",
            "postal_code": "070041015",
            "country_code": "US",
            "telephone_number": "866-349-4230",
            "fax_number": "877-282-9624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PALAK",
        "middle_name": "NALIN",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NJ",
            "license": "25MP00169000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00169000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.