Mukesh Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042474 Issued in NY

Practice address

195 Washington Ave
Kingston, NY 12401-4831

Phone

(845) 340-8044

NPI assigned

Oct 20, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mpatel44999@direct.medisys.org

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518956606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302, 112TH STREET",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183015",
            "telephone_number": "845-901-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WASHINGTON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014831",
            "telephone_number": "845-340-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112081268",
            "country_code": "US",
            "telephone_number": "845-901-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01175075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Park, DDS
• Holly Parker, NP
• Michaela Rose Passero, MHC-LP
• Bharat C Patel, DDS
• Deepak Rameshchandra Patel, MD
• Shalin Jitendra Patel, M.D.
• Patricia D Payette
• Amber L Pease, RN
• Pediatric Dentistry of Kingston PLLC (Pediatric Dentistry of Kingston)
• Laurel Pelzek, LCSW-R

• General Practice Dentistry in Kingston, NY
• Providers in Kingston, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.