NPIMap

Organization Active NPI

Yogi Medical Care Inc

  • Nephrology Physician
  • Jersey City, NJ
National Provider Identifier
1467738633
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA06719700 Issued in NJ
Legal business name
YOGI MEDICAL CARE INC
Practice address
550 Summit Ave
Basement
Jersey City, NJ 07306-2707
Phone
(201) 209-1802
Fax
(201) 604-7764
NPI assigned
Nov 1, 2011
Last updated
Feb 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Jayeshkumar Shantilal Patel, MDNPI 1962509265
Title
President
Phone
(201) 209-1802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA06719700 NJ Primary

Addresses

Primary practice location

550 Summit Ave
Basement
Jersey City, NJ 07306-2707

Mailing address

550 Summit Ave
Basement
Jersey City, NJ 07306-2707
Phone (201) 209-1802

Other identifiers 1

IdentifierTypeStateIssuer
8551804MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190102003043 NJ Part B Supplier - Clinic/Group Practice 7315282860 Receives reassigned benefits from 11 practitioners
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

3665 John F Kennedy Blvd
#1A
Jersey City, NJ 07307

3665 John F Kennedy Blvd
Bsmt
Jersey City, NJ 07307
Phone (201) 963-1155

Practitioners & affiliated clinicians

Practitioners 11

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": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1467738633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE",
            "address_2": "BASEMENT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062707",
            "telephone_number": "201-209-1802",
            "fax_number": "201-604-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE",
            "address_2": "BASEMENT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062707",
            "telephone_number": "201-209-1802",
            "fax_number": "201-604-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGI MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYESHKUMAR",
        "authorized_official_middle_name": "SHANTILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-209-1802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06719700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8551804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.