Individual provider Active NPI

Ramesh L Patel, MD

  • Internal Medicine Physician
  • South Orange, NJ
National Provider Identifier
1437245354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA61556 Issued in NJ
Practice address
707 So Orange Ave
South Orange, NJ 07076-2698
Phone
(973) 761-6111
Fax
(973) 761-4990
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA61556 NJ Primary

Addresses

Primary practice location

707 So Orange Ave
South Orange, NJ 07076-2698

Mailing address

707 So Orange Ave
South Orange, NJ 07076-2698
Phone (973) 761-6111

Other identifiers 1

IdentifierTypeStateIssuer
6769900MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000454 NJ Practitioner - Internal Medicine 9739104761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avedamed LLCGroup PAC ID 8022272509, 7 clinicians

Practice addresses (Care Compare)

2130 Millburn Ave
Suite A4
Maplewood, NJ 07040-3745
Phone (973) 761-1140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA61556NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Specialists Group, LLC CurrentSince Apr 21, 2012 Accepting new patients
Eoh Acquisition Group, LLC Past Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients
University Hospital Past Accepting new patients
Clinton Medical Associates PA Internal Medicine PastSince Apr 21, 2012 Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients

Locations

2130 Millburn Ave
Ste A4
Maplewood, NJ 07040
Phone (973) 275-9300

Interoperability endpoints

  • Direct secure messaging: ramesh.patel.1@23475.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437245354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SO ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070762698",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SO ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070762698",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAMESH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA61556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6769900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.