Individual provider Active NPI

Raj Patel

  • Infectious Disease Physician
  • Irvington, NJ
National Provider Identifier
1457710980
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA10303200 Issued in NJ
Practice address
701 Stuyvesant Ave
Irvington, NJ 07111-1823
Phone
(973) 372-1828
NPI assigned
Feb 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA10303200 NJ Primary

Addresses

Primary practice location

701 Stuyvesant Ave
Irvington, NJ 07111-1823

Mailing address

PO Box 290
Vauxhall, NJ 07088-0290
Phone (973) 372-1828

Other identifiers 2

IdentifierTypeStateIssuer
25MA10303200OtherNJINFECTIOUS DES
25MA10303200MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619000138 NJ Practitioner - Infectious Disease 0143575084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hemant G Patel MD PAGroup PAC ID 0941280960, 3 clinicians

Practice addresses (Care Compare)

701 Stuyvesant Ave
Irvington, NJ 07111-1823
Phone (973) 372-1828

Hospital & facility affiliations

  • Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hemant G Patel MD PA CurrentSince Aug 5, 2018 Accepting new patients

Locations

701 Stuyvesant Ave
Irvington, NJ 07111
Phone (201) 372-1828

646 Sanford Ave
Newark, NJ 07106
Phone (973) 373-7700

91 Main St
West Orange, NJ 07052
Phone (973) 313-3177

Organizations & group practices 1

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 7

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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1457710980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070880290",
            "telephone_number": "973-372-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 STUYVESANT AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111823",
            "telephone_number": "973-372-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA10303200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFECTIOUS DES",
            "identifier": "25MA10303200",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25MA10303200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

Verify at the official NPI Registry.