Patrawalla M.D. P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PATRAWALLA M.D. P.A.

Practice address

96 Millburn Ave
Ste 203
Millburn, NJ 07041-1944

Phone

(973) 763-4120

Fax

(973) 763-1713

NPI assigned

Jan 10, 2008

Last updated

Jan 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shirish C Patrawalla, M.D.NPI 1245346188

Title

President

Phone

(973) 763-4120

Specialties & licenses 1

Addresses

Locations

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.

• Shirish C Patrawalla, MD

  • Cardiovascular Disease Physician
  • Maplewood, NJ
  • NPI 1245346188
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1477739290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MILLBURN AVE",
            "address_2": "STE 203",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-763-4120",
            "fax_number": "973-763-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MILLBURN AVE",
            "address_2": "STE 203",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411944",
            "telephone_number": "973-763-4120",
            "fax_number": "973-763-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRAWALLA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "PATRAWALLA",
        "authorized_official_first_name": "SHIRISH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-763-4120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Medicine Physicians
• Pase Healthcare, PC
• Sara Elizabeth Passman, FNP-BC
• Amul S Patel, D.O.
• Mili Patel
• Peace and Wellness Therapy Services LLC
• Pediatric Eden L.L.C.
• Pediatric Therapy Practitioners, PA
• Lawrence J Pemberton, PT, DPT
• Julianna Pennucci

• Clinic/Center in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.