Jayesh V. Patel DO PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OS7701 Issued in FL

Legal business name

JAYESH V. PATEL DO PA

Practice address

2175 A Cheney Hwy
Titusville, FL 32780-6792

Phone

(321) 269-0059

Fax

(321) 269-9926

NPI assigned

Dec 28, 2011

Organization subpart

Yes

Parent organization

JAYESH V. PATEL DO PAAs reported in NPPES

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

Authorized official

Name

Dr. Jayesh V. Patel, D. O.NPI 1558306688

Title

President

Phone

(321) 269-0059

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JAYESH V. PATEL DO. PA. Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Jayesh V Patel DO PA

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Merritt Island ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Merritt Island, FL
  • NPI 1912952144

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayesh V. Patel, D. O

  • Facial Plastic Surgery Physician
  • Titusville, FL
  • NPI 1558306688
  Medicare reassignment Care Compare group NPD Authorized official
• Reginald Joseph, PA

  • Physician Assistant
  • Melbourne, FL
  • NPI 1861737439
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1629347265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 A CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806792",
            "telephone_number": "321-269-0059",
            "fax_number": "321-269-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 A CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806792",
            "telephone_number": "321-269-0059",
            "fax_number": "321-269-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYESH V. PATEL DO PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAYESH V. PATEL DO PA",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-269-0059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS7701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254600100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAYESH V. PATEL DO. PA.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jan L. Spagnoli DDS PA
• Ajit Haldipur Janardhan, MD, PHD
• Amanda Jaquez
• Ericka Furrece Jarvis, LPN
• Anitesh Jaswal, M.D.
• JC Quality Care Transport Service LLC
• Linda Faye Jean, RD, LDN
• Dieula Della Jeanpierre
• Alicia Jenkins
• Cornelius Jenkins

• Medical Specialty Clinic/Center in Titusville, FL
• Providers in Titusville, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.