Active NPI
South Jersey Emergency Physicians
- Physician Assistant
- Mount Holly, NJ
National Provider Identifier
1447207477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00153700
- Legal business name
- SOUTH JERSEY EMERGENCY PHYSICIANS
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 267-0700
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronak Patel, PA-C
- Title
- Physician Assistant
- Phone
- (609) 267-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00153700 | NJ | Primary |
Addresses
Primary practice location
175 Madison Ave
Mount Holly, NJ 08060-2038
Mailing address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700
National Provider Directory
National Provider DirectoryLocations
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1447207477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602038",
"telephone_number": "609-267-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602038",
"telephone_number": "609-267-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH JERSEY EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RONAK",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "609-267-0700",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00153700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.