Monica Patel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00831600 Issued in NJ

Practice address

104 Rex Rd
Somerdale, NJ 08083-2024

Phone

(856) 381-7756

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, DE2 enrollments

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 2

Specialty

Physician Assistant

Education

Drexel University College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of Delaware LLCGroup PAC ID 8224503396, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

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.

• Dermatology Specialists of Delaware LLC

  • Dermatology Physician
  • Wilmington, DE
  • NPI 1275309015
  Medicare reassignment Care Compare group
• Passaic River Physicians, LLC

  • Emergency Medicine Physician
  • Paterson, NJ
  • NPI 1962162644
  Medicare reassignment NPD
• Passaic River Observation, LLC

  • Emergency Medicine Physician
  • Paterson, NJ
  • NPI 1568113348
  Medicare reassignment
• Delaware Valley Dermatology Group LLC

  • Dermatology Physician
  • Wilmington, DE
  • NPI 1568602969
  Medicare reassignment
• Bobby Buka, M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1134349954
  NPD (past)

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1508620261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 REX RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080832024",
            "telephone_number": "856-381-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 REX RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080832024",
            "telephone_number": "856-381-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MONICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00831600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Lucas Mwagala
• New Beginning Support Coordination
• New Life New Hope
• Kenson Emanuel Noel, D.M.D.
• Jayesh Patel, M.D.
• Claudia M Peterson, LCSW
• Theodore Peterson III, LPC, NCC
• Stanley B. Piltin, D.C.
• Pinnacle Treatment Centers NJ-III, LLC
• Pinnacle Treatment Centers NJ-III, LLC

• Physician Assistant in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.