Active NPI
Mayank Patel MD PA
- Gastroenterology Physician
- Edison, NJ
National Provider Identifier
1447418553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA04026700
- Legal business name
- MAYANK PATEL MD PA
- Practice address
- 659 New Dover Rd
Edison, NJ 08820-1912 - Phone
- (732) 382-0344
- Fax
- (732) 382-0340
- NPI assigned
- May 26, 2008
- Last updated
- Sep 10, 2014
- 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
- Dr. Mayank D Patel, MD
- Title
- President
- Phone
- (732) 382-0344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA04026700 | NJ | Primary |
Addresses
Primary practice location
659 New Dover Rd
Edison, NJ 08820-1912
Mailing address
659 New Dover Rd
Edison, NJ 08820-1912
Phone (732) 382-0344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3396801-01 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Edison, NJ
- NPI 1518985332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410307200000",
"number": "1447418553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 NEW DOVER RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201912",
"telephone_number": "732-382-0344",
"fax_number": "732-382-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 NEW DOVER RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201912",
"telephone_number": "732-382-0344",
"fax_number": "732-382-0340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYANK PATEL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-26",
"last_updated": "2014-09-10",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MAYANK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-382-0344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA04026700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3396801-01",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.