Nisha Chandravadan Patel, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02446300 Issued in NJ

Practice address

37 Hwy 35
Eatontown, NJ 07724-3900

Phone

(732) 544-9101

NPI assigned

Jul 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Apprehensive Patient Dental Office PC

  dba the apprehensive patient

  • Dentist
  • Eatontown, NJ
  • NPI 1508054958
  NPD (past)

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279324800000",
    "number": "1609189711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RIVER CT",
            "address_2": "APT # 1909",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102101",
            "telephone_number": "714-906-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HWY 35",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243900",
            "telephone_number": "732-544-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHA",
        "middle_name": "CHANDRAVADAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02446300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Desiree Parsell, PTA
• Melissa Pastor, RD
• Akash Snehal Patel, MD
• Ami Kiran Patel, PT,DPT
• Anjani Patel, MSN, FNP-BC
• Ravi Patel, M.D.
• Pathmark Stores Inc (Pathmark Pharmacy)
• Pathology Solutions LLC
• Pathology Solutions, LLC
• Dana Patterson

• General Practice Dentistry in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.