Individual provider Active NPI

Bhupendra C. Patel, MD

  • Emergency Medicine Physician
  • Plainfield, NJ
National Provider Identifier
1639112352
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA71690 Issued in NJ
Practice address
1200 Park Ave
Plainfield, NJ 07061
Phone
(908) 668-2200
Fax
(908) 668-6894
NPI assigned
Jun 13, 2006
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA71690 NJ Primary
Internal Medicine Physician 207R00000X 25MA07169000 NJ

Addresses

Primary practice location

1200 Park Ave
Plainfield, NJ 07061

Mailing address

19 Rolling Brook Dr
Edison, NJ 08820-4429
Phone (908) 754-9908

Other practice location 1

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 337-1435

Other identifiers 1

IdentifierTypeStateIssuer
0095630MedicaidNJ

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
I20060227000195 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 9436165685 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA71690NJMDEmergency Medicine Physician
25MA07169000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Mar 30, 2020 Accepting new patients
Chambers Emergency Associates PA Emergency Medicine CurrentSince Oct 3, 2011 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Mar 1, 2006 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince May 1, 2008 Accepting new patients
Summit Medical Group PA CurrentSince Mar 30, 2020 Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

65 James St
Edison, NJ 08820
Phone (732) 321-7010

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

Interoperability endpoints

  • Direct secure messaging: bhupendra.patel.1@2983.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1639112352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROLLING BROOK DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204429",
            "telephone_number": "908-754-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07061",
            "telephone_number": "908-668-2200",
            "fax_number": "908-668-6894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Diamond Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079222104",
            "country_code": "US",
            "telephone_number": "908-337-1435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHUPENDRA",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA71690",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07169000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095630",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.