Individual provider Active NPI

Mukesh Maganbhai Patel, M.D.

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1598740292
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05531500 Issued in NJ
Practice address
1628 Oak Tree Rd
Edison, NJ 08820-2841
Phone
(732) 205-9070
Fax
(732) 205-9165
NPI assigned
Dec 14, 2005
Last updated
Oct 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05531500 NJ Primary

Addresses

Primary practice location

1628 Oak Tree Rd
Edison, NJ 08820-2841

Mailing address

1628 Oak Tree Rd
Edison, NJ 08820-2841
Phone (732) 205-9070

Other identifiers 1

IdentifierTypeStateIssuer
52306MedicaidNJ

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
I20050622000160 NJ Practitioner - Internal Medicine 2062457971 Reassigns benefits to 1 organization
Practice locations: East Orange, NJ; Edison, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1628 Oak Tree Rd
Edison, NJ 08820-2841
Phone (732) 205-9070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care P.C. Past Accepting new patients
Ima Urgent Care Past Accepting new patients
Douglas a Taylor MD PC Internal Medicine PastSince Jul 1, 1997 Accepting new patients
Integrated Medicine Alliance PA Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1598740292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202841",
            "telephone_number": "732-205-9070",
            "fax_number": "732-205-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202841",
            "telephone_number": "732-205-9070",
            "fax_number": "732-205-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKESH",
        "middle_name": "MAGANBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05531500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.