Active NPI
Dhaval D Patel, DPM
- Podiatrist
- Franklin Park, NJ
National Provider Identifier
1629620471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1-0010272
- Practice address
- 56 Fisher Dr
Franklin Park, NJ 08823-1347 - Phone
- (732) 789-6040
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1-0010272 | DE | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E1-0010272 | DE | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
56 Fisher Dr
Franklin Park, NJ 08823-1347
Mailing address
56 Fisher Dr
Franklin Park, NJ 08823-1347
Phone (732) 789-6040
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMGH Physician Practice Management, LLC | Current | Accepting new patients |
Locations
1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1033578075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1629620471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 FISHER DR",
"city": "FRANKLIN PARK",
"state": "NJ",
"postal_code": "088231347",
"telephone_number": "732-789-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FISHER DR",
"city": "FRANKLIN PARK",
"state": "NJ",
"postal_code": "088231347",
"telephone_number": "732-789-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHAVAL",
"middle_name": "D",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DE",
"license": "E1-0010272",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "DE",
"license": "E1-0010272",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.