Individual provider Active NPI

Milan Patel, D.M.D.

  • Dentist
  • Princeton Junction, NJ
National Provider Identifier
1548572928
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI02544800 Issued in NJ
Practice address
265 Princeton Hightstown Rd
Princeton Junction, NJ 08550-3127
Phone
(609) 799-7722
NPI assigned
Jul 13, 2010
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS039036 PA
Dentist 122300000X DI02544800 NJ Primary

Addresses

Primary practice location

265 Princeton Hightstown Rd
Princeton Junction, NJ 08550-3127

Mailing address

265 Princeton Hightstown Rd
Princeton Junction, NJ 08550-3127
Phone (609) 799-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI02544800NJMDDentist
DS039036PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ele-Dent Pediatric Dentistry, LLC Pediatric Dentistry CurrentSince Nov 15, 2020 Accepting new patients

Locations

265 Princeton Hightstown Rd
Princeton Junction, NJ 08550
Phone (609) 799-7722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1548572928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503127",
            "telephone_number": "609-799-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 PRINCETON HIGHTSTOWN RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503127",
            "telephone_number": "609-799-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MILAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS039036",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02544800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.