Individual provider Active NPI

Rima A Patel, AGPCNP

  • Gerontology Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1629791413
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01369300 Issued in NJ
Practice address
926 Main St
Nashville, TN 37206-3614
Phone
(615) 435-9060
Fax
(615) 235-9725
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01369300 NJ Primary

Addresses

Primary practice location

926 Main St
Nashville, TN 37206-3614

Mailing address

926 Main St
Nashville, TN 37206-3614
Phone (615) 435-9060

Other practice location 1

3546 Route 27
Kendall Park, NJ 08824
Phone (609) 483-3411

Other practice location 2

4 New York Blvd
Edison, NJ 08820-2422
Phone (732) 501-6872

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
I20230314001087 NJ Practitioner - Nurse Practitioner 1153795133 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01369300NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jan 6, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 6, 2024 Accepting new patients
Primary Care Partners, LLC Nurse Practitioner Current Accepting new patients

Locations

3546 State Route 27
Kendall Park, NJ 08824
Phone (609) 483-3411

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

101 Old Short Hills Rd
Ste 401
West Orange, NJ 07052
Phone (973) 322-6500

Interoperability endpoints

  • Direct secure messaging: rpatel462286@direct.ahsys.org
  • Direct secure messaging: rima.patel@237407481626628.direct.elationemr.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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1629791413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "615-435-9060",
            "fax_number": "615-235-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614",
            "telephone_number": "615-435-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3546 Route 27",
            "address_purpose": "LOCATION",
            "city": "Kendall Park",
            "state": "NJ",
            "postal_code": "08824",
            "country_code": "US",
            "telephone_number": "609-483-3411",
            "fax_number": "609-483-3421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 New York Blvd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202422",
            "country_code": "US",
            "telephone_number": "732-501-6872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RIMA",
        "middle_name": "A",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01369300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.