Individual provider Active NPI

Mayank D Patel, MD

  • Gastroenterology Physician
  • Edison, NJ
National Provider Identifier
1518985332
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA04026700 Issued in NJ
Practice address
659 New Dover Rd
Edison, NJ 08820-1912
Phone
(732) 382-0344
Fax
(732) 382-0340
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA04026700 NJ Primary

Addresses

Primary practice location

659 New Dover Rd
Edison, NJ 08820-1912

Mailing address

659 New Dover Rd
Edison, NJ 08820-1912
Phone (732) 382-0344

Other identifiers 1

IdentifierTypeStateIssuer
3396801-01MedicaidNJ

Other names 1

  • Mayank D Patel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040628001154 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 3870579055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avenel Iselin Medical Group, LLCGroup PAC ID 5597751941, 18 clinicians

Practice addresses (Care Compare)

400 Gill Lane
Iselin, NJ 08830-3059

400 Gill LN
Iselin, NJ 08830-3059
Phone (732) 404-1580

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avenel Iselin Medical Group, LLC Gastroenterology CurrentSince Mar 1, 2002 Accepting new patients
Rakesh Passi MD LLC Past Accepting new patients
Central Medical Associates LLC Past Accepting new patients

Locations

400 Gill Ln
Iselin, NJ 08830
Phone (732) 404-1580

Interoperability endpoints

  • Direct secure messaging: mayankpatel@aimg.ssdirect.aprima.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1518985332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 NEW DOVER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201912",
            "telephone_number": "732-382-0344",
            "fax_number": "732-382-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 NEW DOVER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201912",
            "telephone_number": "732-382-0344",
            "fax_number": "732-382-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYANK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04026700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3396801-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYANK",
            "last_name": "PATEL",
            "middle_name": "D",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.