Individual provider Active NPI

Amy Patel, DNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1598530842
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ14959400 Issued in NJ
Practice address
141 Sylvan Rd
Bloomfield, NJ 07003-4522
Phone
(973) 570-0045
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ14959400 NJ Primary

Addresses

Primary practice location

141 Sylvan Rd
Bloomfield, NJ 07003-4522

Mailing address

141 Sylvan Rd
Bloomfield, NJ 07003-4522
Phone (973) 570-0045

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202003955 NJ Practitioner - Nurse Practitioner 2264875590 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14959400NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Feb 18, 2024 Accepting new patients
Advocare, LLC CurrentSince Feb 18, 2024 Accepting new patients
Kintiroglou Pediatrics LLC Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

7 James St
Florham Park, NJ 07932
Phone (973) 295-6226

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

745 Northfield Ave
Ste 7
West Orange, NJ 07052
Phone (973) 243-0002

Interoperability endpoints

  • Direct secure messaging: amy.patel@advocaredoctors.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1598530842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SYLVAN RD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034522",
            "telephone_number": "973-570-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SYLVAN RD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034522",
            "telephone_number": "973-570-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMY",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ14959400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.