Individual provider Active NPI

Tejas Bharat Patel, M.D.

  • Dermatology Physician
  • Staten Island, NY
National Provider Identifier
1497041776
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
282042 Issued in NY
Practice address
2955 Veterans Rd W Ste 2F
Staten Island, NY 10309-2504
Phone
(929) 200-3003
Fax
(929) 224-0696
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 282042 NY Primary

Addresses

Primary practice location

2955 Veterans Rd W Ste 2F
Staten Island, NY 10309-2504

Mailing address

2955 Veterans Rd W Ste 2F
Staten Island, NY 10309-2504
Phone (929) 200-3003

Other practice location 1

840 S Wood St
Internal Medicine Office
Chicago, IL 60612-4325
Phone (312) 996-7836

Other practice location 2

9920 4th Ave Ste 313
Brooklyn, NY 11209-8332
Phone (929) 200-3003

Other practice location 3

1350 Route 112
Port Jefferson Station, NY 11776-3078
Phone (929) 200-3003

Other practice location 4

211 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3192
Phone (929) 200-3003

Other practice location 5

431 Beach 20th St
Far Rockaway, NY 11691-3621
Phone (929) 200-3003

Other practice location 6

70 Father Capodanno Blvd
Staten Island, NY 10305-4803
Phone (929) 200-3003

Other practice location 7

1740 Express Dr S
Hauppauge, NY 11788-5302
Phone (929) 200-3003

Other practice location 8

14040 Sanford Ave
Flushing, NY 11355-2556
Phone (929) 200-3003

Other practice location 9

799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (929) 200-3003

Other practice location 10

11502 Ocean Promenade
Rockaway Park, NY 11694-2412
Phone (929) 200-3003

Other practice location 11

1526 New Haven Ave
Far Rockaway, NY 11691-5148
Phone (929) 200-3003

Other practice location 12

110 Henderson Ave
Staten Island, NY 10301-2108
Phone (929) 200-3003

Other practice location 13

1509 Central Ave
Far Rockaway, NY 11691-4001
Phone (929) 200-3003

Other practice location 14

143 E Main St
Babylon, NY 11702-3524
Phone (929) 200-3003

Other practice location 15

130 Lake Ave S
Nesconset, NY 11767-1001
Phone (929) 200-3003

Other practice location 16

1800 Waring Ave
Bronx, NY 10469-6331
Phone (929) 200-3003

Other practice location 17

3010 W 33rd St
Brooklyn, NY 11224-1404
Phone (929) 200-3003

Other practice location 18

8008 45th Ave
Elmhurst, NY 11373-3545
Phone (929) 200-3003

Other practice location 19

1041 E 83rd St
Brooklyn, NY 11236-4225
Phone (929) 200-3003

Other practice location 20

6355 Broadway
Bronx, NY 10471-2701
Phone (929) 200-3003

Other identifiers 1

IdentifierTypeStateIssuer
4426651MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151215000101 NY Practitioner - Dermatology 2567763659 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Chicago College of Medicine and Surgery, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1041 E 83Rd St
Brooklyn, NY 11236-4225
Phone (929) 200-3003

110 Henderson Ave
Staten Island, NY 10301-2108
Phone (929) 200-3003

11502 Ocean Promenade
Rockaway Park, NY 11694-2412
Phone (929) 200-3003

14040 Sanford Ave
Flushing, NY 11355-2556
Phone (929) 200-3003

1509 Central Ave
Far Rockaway, NY 11691-4001
Phone (929) 200-3003

1526 New Haven Ave
Far Rockaway, NY 11691-5148
Phone (929) 200-3003

1800 Waring Ave
Bronx, NY 10469-6331
Phone (929) 200-3003

211 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3192
Phone (929) 200-3003

2955 Veterans Rd W
Suite 2F
Staten Island, NY 10309-2504
Phone (929) 200-3003

3010 W 33Rd St
Brooklyn, NY 11224-1404
Phone (929) 200-3003

431 Beach 20TH St
Far Rockaway, NY 11691-3621
Phone (929) 200-3003

6355 Broadway
Bronx, NY 10471-2701
Phone (929) 200-3003

70 Father Capodanno Blvd
Staten Island, NY 10305-4803
Phone (929) 200-3003

799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (929) 200-3003

8008 45TH Ave
Elmhurst, NY 11373-3545
Phone (929) 200-3003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1039
Removal of skin cancer98
Removal or shaving of skin growth284
Skin biopsy24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siuc Medical PC Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
Bridgeview Medical PC CurrentSince Apr 2, 2017 Accepting new patients
Infinite Medical PC Single Specialty CurrentSince Aug 29, 2025 Accepting new patients
Perry Ave Family Medical Center Inc Single Specialty CurrentSince Mar 18, 2018 Accepting new patients
1211 WPR Medical Services PC Single Specialty CurrentSince Jul 25, 2020 Accepting new patients
Clark Dermatology, LLC Dermatology PastSince May 11, 2025 Accepting new patients
Skin Care Center of Southern Il LLC Single Specialty PastSince Feb 1, 2021 Accepting new patients

Locations

326 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

9920 4th Ave
Ste 313
Brooklyn, NY 11209
Phone (718) 833-4386

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

2955 Veterans Rd W
Ste 2F
Staten Island, NY 10309
Phone (718) 605-3333

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1497041776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W STE 2F",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092504",
            "telephone_number": "929-200-3003",
            "fax_number": "929-224-0696"
        },
        {
            "country_code": "US",
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            "city": "STATEN ISLAND",
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            "telephone_number": "929-200-3003",
            "fax_number": "929-224-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 S Wood St",
            "address_2": "Internal Medicine Office",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124325",
            "country_code": "US",
            "telephone_number": "312-996-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9920 4th Ave Ste 313",
            "address_purpose": "LOCATION",
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            "postal_code": "112098332",
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            "fax_number": "929-224-0696",
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            "address_type": "DOM"
        },
        {
            "address_1": "1350 Route 112",
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            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Lake Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Ronkonkoma",
            "state": "NY",
            "postal_code": "117793192",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "fax_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Beach 20th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913621",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Father Capodanno Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103054803",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1740 Express Dr S",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117885302",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "fax_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14040 Sanford Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552556",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 E Gun Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104676107",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11502 Ocean Promenade",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116942412",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1526 New Haven Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116915148",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012108",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914001",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 E Main St",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117023524",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Lake Ave S",
            "address_purpose": "LOCATION",
            "city": "Nesconset",
            "state": "NY",
            "postal_code": "117671001",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Waring Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104696331",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 W 33rd St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112241404",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8008 45th Ave",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113733545",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 E 83rd St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112364225",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6355 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104712701",
            "country_code": "US",
            "telephone_number": "929-200-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAS",
        "middle_name": "BHARAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "282042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4426651",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.