Organization Active NPI

Mayank Patel MD PA

  • Gastroenterology Physician
  • Edison, NJ
National Provider Identifier
1447418553
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA04026700 Issued in NJ
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Mayank D Patel, MDNPI 1518985332
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3396801-01MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.