Active NPI
Nick N Patel, D.O.
- Pulmonary Disease Physician
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 246771
- Practice address
- 70 N Country Rd Ste 101
Port Jefferson, NY 11777-2161 - Phone
- (631) 473-0037
- Fax
- (631) 473-0228
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 246771 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 246771 | NY | Primary |
Addresses
Primary practice location
70 N Country Rd Ste 101
Port Jefferson, NY 11777-2161
Mailing address
45 Research Way Ste 105
East Setauket, NY 11733-6401
Phone (631) 675-2624
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npatel@nsc.direct.gemmsnest.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-1750
101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-0580
1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 548-6000
26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580
Hospital & facility affiliations
- John T Mather Memorial Hospital of Port Jefferson
- Suny/Stony Brook University Hospital
- St Charles Hospital
- Peconic Bay Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Internists, University Faculty Practice Corporation | Pulmonary Disease | Current | Accepting new patients |
| Stony Brook Internists, University Faculty Practice Corporation | Current | Accepting new patients | |
| Stony Brook Internists, University Faculty Practice Corporation | Past | Accepting new patients | |
| Stony Brook Gynecology & Obstetrics, P.C. | Past | Accepting new patients |
Locations
200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666
1500 Route 112
Ste B
Port Jefferson Station, NY 11776
Phone (631) 343-4184
75 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 686-2575
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
47 Commerce Ave
Ste 1
Riverhead, NY 11901
Phone (631) 978-7633
100 Nicolls Rd
#13202
Stony Brook, NY 11794
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- npatel65931@northwell.direct-ci.com
- nick.patel@sbcm.cernerdirect.com
Organizations & group practices 4
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.
-
- Cardiac Rehabilitation Registered Nurse
- Stony Brook, NY
- NPI 1295778371
-
- Pulmonary Disease Physician
- Stony Brook, NY
- NPI 1104865229
-
- Obstetrics & Gynecology Physician
- Setauket, NY
- NPI 1770550477
-
- Medical Oncology Physician
- Stony Brook, NY
- NPI 1184679342
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1457536377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY STE 105",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-675-2624",
"fax_number": "631-675-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N COUNTRY RD STE 101",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772161",
"telephone_number": "631-473-0037",
"fax_number": "631-473-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NICK",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "246771",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "246771",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npatel@nsc.direct.gemmsnest.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "70 N Country Rd Ste 101",
"city": "Port Jefferson",
"state": "NY",
"country_code": "US",
"postal_code": "117772161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.