Organization Active NPI

Himanshu a. Patel. MD. PA

  • Pediatrics Physician
  • Dayton, NJ
National Provider Identifier
1477615110
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA062160 Issued in NJ
Legal business name
HIMANSHU A. PATEL. MD. PA
Practice address
401 Ridge Rd Ste 2
Dayton, NJ 08810-3300
Phone
(732) 418-1700
Fax
(732) 249-9599
NPI assigned
Dec 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Himanshu Patel, MDNPI 1336188622
Title
President
Phone
(732) 418-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA062160 NJ Primary

Addresses

Primary practice location

401 Ridge Rd Ste 2
Dayton, NJ 08810-3300

Mailing address

401 Ridge Rd Ste 2
Dayton, NJ 08810-3300
Phone (732) 418-1700

Other identifiers 1

IdentifierTypeStateIssuer
6867405MedicaidNJ

National Provider Directory

National Provider Directory

Locations

401 Ridge Rd
Ste 2
Dayton, NJ 08810
Phone (732) 418-1700

Practitioners & affiliated clinicians

Practitioners 1

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477615110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGE RD STE 2",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088103300",
            "telephone_number": "732-418-1700",
            "fax_number": "732-249-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RIDGE RD STE 2",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088103300",
            "telephone_number": "732-418-1700",
            "fax_number": "732-249-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIMANSHU A. PATEL. MD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-418-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA062160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6867405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.