Shreena R. Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02517400 Issued in NJ

Practice address

775 Union Blvd
Totowa, NJ 07512-2207

Phone

(973) 812-1234

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• QD 775 Union Blvd., LLC

  • General Practice Dentistry
  • Totowa, NJ
  • NPI 1982663639
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1437445111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122207",
            "telephone_number": "973-812-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122207",
            "telephone_number": "973-812-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHREENA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02517400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Park
• Passaic County Department of Senior Services
• Niti Patel, RD
• Rooshil Patel, MD
• Samir H Patel, R.PH.
• PCM-Continuum SVS Unlimited LLC
• Pearl of Mind Wellness LLC
• Christine Pecorino
• Laurie R Pedlar, RPH
• Regina Marie Pelz, RN, BSN

• General Practice Dentistry in Totowa, NJ
• Providers in Totowa, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.