Individual provider Active NPI

Jaimy Patel, BSC HONORS, MBBS, MD

  • Internal Medicine Physician
  • Maplewood, NJ
National Provider Identifier
1467804625
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11325800 Issued in NJ
Practice address
2130 Millburn Ave Ste A4
Maplewood, NJ 07040-3745
Phone
(973) 761-6111
Fax
(973) 761-4990
NPI assigned
Jul 11, 2016
Last updated
Feb 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA11325800 NJ Primary

Addresses

Primary practice location

2130 Millburn Ave Ste A4
Maplewood, NJ 07040-3745

Mailing address

2130 Millburn Ave Ste A4
Maplewood, NJ 07040-3745
Phone (973) 761-6111

Other practice location 1

707 S Orange Ave
South Orange, NJ 07079-2698
Phone (973) 761-6111

Other practice location 2

835 Clinton Ave
Newark, NJ 07108-1035
Phone (973) 399-4000

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
I20221008000050 NJ Practitioner - Internal Medicine 3678959046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avedamed LLCGroup PAC ID 8022272509, 7 clinicians

Practice addresses (Care Compare)

2130 Millburn Ave
Suite A4
Maplewood, NJ 07040-3745
Phone (973) 761-1140

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11325800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avedamed LLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
The Heart Specialists Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Clinton Medical Associates PA Internal Medicine PastSince Oct 1, 2022 Accepting new patients

Locations

2130 Millburn Ave
Ste A4
Maplewood, NJ 07040
Phone (973) 275-9300

2130 Millburn Ave
Ste D1
Maplewood, NJ 07040
Phone (973) 704-9589

835 Clinton Ave
Newark, NJ 07108
Phone (973) 399-3323

707 S Orange Ave
South Orange, NJ 07079
Phone (973) 761-1140

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23475/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaimy.patel.1@23475.direct.athenahealth.com
  • Direct secure messaging: jpatel19636@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1467804625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE STE A4",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403745",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE STE A4",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403745",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "South Orange",
            "state": "NJ",
            "postal_code": "070792698",
            "country_code": "US",
            "telephone_number": "973-761-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071081035",
            "country_code": "US",
            "telephone_number": "973-399-4000",
            "fax_number": "973-399-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAIMY",
        "credential": "BSC HONORS, MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11325800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.