Individual provider Active NPI

Jignesh Patel

  • Family Nurse Practitioner
  • Linden, NJ
National Provider Identifier
1447753306
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00794500 Issued in NJ
Practice address
623 N Wood Ave
Linden, NJ 07036-4151
Phone
(908) 486-0990
NPI assigned
Mar 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00794500 NJ Primary

Addresses

Primary practice location

623 N Wood Ave
Linden, NJ 07036-4151

Mailing address

42 Albury Way
North Brunswick, NJ 08902-4203

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401002221 NJ Practitioner - Nurse Practitioner 8325389380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patel Healthcare, LLCGroup PAC ID 2466628938, 2 clinicians

Practice addresses (Care Compare)

623 N Wood Ave
Suite 6B
Linden, NJ 07036-4151
Phone (908) 486-0990

Hospital & facility affiliations

  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00794500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patel Healthcare, LLC CurrentSince Mar 11, 2019 Accepting new patients
Robert Wood Johnson University Hospital at Rahway Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

1804 Oak Tree Rd
Edison, NJ 08820
Phone (732) 205-0343

1804 Oak Tree Rd
Ste 3
Edison, NJ 08820
Phone (732) 494-0015

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDEBA/Endpoint/BGDEBA

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1447753306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ALBURY WAY",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364151",
            "telephone_number": "908-486-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JIGNESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00794500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.