Individual provider Active NPI

Anjani Patel, MSN, FNP-BC

  • Family Nurse Practitioner
  • Eatontown, NJ
National Provider Identifier
1487499323
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15102000 Issued in NJ
Practice address
745 Hope Rd
Eatontown, NJ 07724-2031
Phone
(732) 222-8866
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15102000 NJ Primary
Registered Nurse 163W00000X 26NR21637600 NJ

Addresses

Primary practice location

745 Hope Rd
Eatontown, NJ 07724-2031

Mailing address

745 Hope Rd
Eatontown, NJ 07724-2031

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018002300 NJ Practitioner - Nurse Practitioner 0840722518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates of New Jersey, P.C.Group PAC ID 2961405055, 42 clinicians

Practice addresses (Care Compare)

745 Hope Rd
Eatontown, NJ 07724-2031
Phone (732) 222-8866

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR21637600NJMDRegistered Nurse
26NJ15102000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of New Jersey, P.C. CurrentSince Sep 7, 2021 Accepting new patients
Valley Physician Services PC Past Accepting new patients

Locations

745 Hope Rd
Eatontown, NJ 07724
Phone (732) 222-8866

1200 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 327-8600

1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600

121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866

Organizations & group practices 2

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 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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1487499323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HOPE RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 HOPE RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242031",
            "telephone_number": "732-222-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANJANI",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15102000",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR21637600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.