Monika Patel
Individual provider Active NPI General Practice Dentistry · Secacus, NJ
NPI 1639625916 · NPPES record last updated Aug 28, 2016
Key facts
- NPI
- 1639625916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DR0318 (NJ)
- Practice address
- 87 Huber St
Secacus, NJ 07094 - Phone
- (201) 936-7269
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DR0318 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDR Dental Group PC | Current | Accepting new patients | |
| M&D Dental Group PC | General Practice | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DR0318 | NJ | Yes |
Addresses
Primary practice location
87 Huber St
Secacus, NJ 07094
Mailing address
87 Huber St
Secacus, NJ 07094
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34007800 | Other | NJ | JERSEY CITY MEDICAL CENTER |
Other providers in Secacus, NJ
All providers in Secacus, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.