Monika Patel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DR0318 Issued in NJ

Practice address

87 Huber St
Secacus, NJ 07094

Phone

(201) 936-7269

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• M&D Dental Group PC

  • Pediatric Dentistry
  • Chadds Ford, PA
  • NPI 1750007928

  General Practice

  NPD Authorized official
• MDR Dental Group PC

  dba Pearly Whites Children's Dentistry

  • Dental Clinic/Center
  • New Castle, DE
  • NPI 1013878354
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1639625916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HUBER ST",
            "city": "SECACUS",
            "state": "NJ",
            "postal_code": "07094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HUBER ST",
            "city": "SECACUS",
            "state": "NJ",
            "postal_code": "07094",
            "telephone_number": "201-936-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DR0318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JERSEY CITY MEDICAL CENTER",
            "identifier": "34007800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reny Rachel Joseph, FNP-BC

• General Practice Dentistry in Secacus, NJ
• Providers in Secacus, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.