Active NPI
Dhirendra A Patel, M.D.
- Internal Medicine Physician
- Parsippany, NJ
National Provider Identifier
1487774543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03801800
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA520746 | Other | NJ | MEDICARE PTAN |
| 3709701 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.