Individual provider Active NPI

Dhirendra A Patel, M.D.

  • Internal Medicine Physician
  • Parsippany, NJ
National Provider Identifier
1487774543
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03801800 Issued in NJ
Practice address
1236 US Highway 46
Suite 1
Parsippany, NJ 07054-2159
Phone
(973) 335-1850
Fax
(973) 335-1880
NPI assigned
Mar 30, 2007
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 25MA03801800 NJ Primary

Addresses

Primary practice location

1236 US Highway 46
Suite 1
Parsippany, NJ 07054-2159

Mailing address

1236 US Highway 46
Suite 1
Parsippany, NJ 07054-2159
Phone (973) 335-1850

Other identifiers 2

IdentifierTypeStateIssuer
PA520746OtherNJMEDICARE PTAN
3709701MedicaidNJ

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
I20050609000236 NJ Practitioner - Internal Medicine 3971546037 Practice locations: Parsippany, NJ

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1487774543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 US HIGHWAY 46",
            "address_2": "SUITE 1",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542159",
            "telephone_number": "973-335-1850",
            "fax_number": "973-335-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 US HIGHWAY 46",
            "address_2": "SUITE 1",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542159",
            "telephone_number": "973-335-1850",
            "fax_number": "973-335-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHIRENDRA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03801800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PA520746",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.