Individual provider Active NPI

Janki Girish Patel

  • Pediatric Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1508635558
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383661 Issued in NY
Practice address
1065 Southern Blvd
Bronx, NY 10459-2417
Phone
(718) 589-2440
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383661 NY Primary
Pediatrics Physician 208000000X F383661-01 NY

Addresses

Primary practice location

1065 Southern Blvd
Bronx, NY 10459-2417

Mailing address

1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002365 NY Practitioner - Nurse Practitioner 3577901008 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F383661-01NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Health Plan, Inc. CurrentSince Mar 25, 2024 Accepting new patients
New York University Pediatrics CurrentSince Feb 1, 2026 Accepting new patients
New York University CurrentSince Feb 1, 2026 Accepting new patients
Urban Health Plan, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Pediatric Associates of Nyc Pediatrics Past Accepting new patients

Locations

271 E 138th St
Bronx, NY 10454
Phone (347) 407-7120

866 E Tremont Ave
Bronx, NY 10460
Phone (347) 284-0595

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

890 Hunts Point Ave
Bronx, NY 10474
Phone (718) 589-2141

1515 Southern Blvd
Bronx, NY 10460
Phone (718) 589-1600

3209 3rd Ave
Bronx, NY 10451
Phone (347) 284-0203

960 Southern Blvd
Bronx, NY 10459
Phone (347) 331-6572

1967 Turnbull Ave
Bronx, NY 10473
Phone (718) 684-1320

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

20 Plaza St E
Brooklyn, NY 11238
Phone (718) 622-5800

3712 108th St
Corona, NY 11368
Phone (718) 639-4107

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

154 W 127th St
New York, NY 10027
Phone (212) 280-0804

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 5

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1508635558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417",
            "telephone_number": "718-589-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417",
            "telephone_number": "718-589-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JANKI",
        "middle_name": "GIRISH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383661",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "F383661-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.