Shruti Patel, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB13081900 Issued in NJ

Practice address

719 N Beers St Ste 1E
Holmdel, NJ 07733-1523

Phone

(732) 739-4414

NPI assigned

Apr 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shrutipatel@chca.medentdirect.com

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.

• Child Health Care Associates Practice of Pediatrics

  • Pediatrics Physician
  • East Syracuse, NY
  • NPI 1255463964
  NPD
• Toms River Ambulatory Anesthesia LLC

  • Integrative Medicine Physician
  • Shrewsbury, NJ
  • NPI 1841540341
  NPD (past)

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1508445073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE STE 308",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024151",
            "telephone_number": "848-379-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST STE 1E",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331523",
            "telephone_number": "732-739-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRUTI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "1508445073",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "328145",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB13081900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Patel, LSW
• Jayendra M. Patel, MD
• Munjal P. Patel, M.D.
• Parini Munjal Patel, M.D
• Sagar Patel, MD
• Tulsi Dilip Patel, MD
• Sapna Patla, DDS
• Jenifer Paulino, MS
• Nathaniel A Peardon, D.O.
• Anne Ruston Pearl, M.D.

• Pediatrics Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.