Individual provider Active NPI

Mayur Vinod Patel, MD

  • Obstetrics & Gynecology Physician
  • Red Bank, NJ
National Provider Identifier
1649320359
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07534600 Issued in NJ
Practice address
565 Highway 35
Suite 7
Red Bank, NJ 07701-5047
Phone
(732) 530-1058
Fax
(732) 530-1419
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA07534600 NJ Primary

Addresses

Primary practice location

565 Highway 35
Suite 7
Red Bank, NJ 07701-5047

Mailing address

565 Highway 35
Suite 7
Red Bank, NJ 07701-5047
Phone (732) 530-1058

Other identifiers 1

IdentifierTypeStateIssuer
0064246MedicaidNJ

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
I20050525000947 NJ Practitioner - Obstetrics/Gynecology 1951343326 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayur V. Patel, , M.D., PA Obstetrics & Gynecology CurrentSince Jan 21, 2010 Accepting new patients

Locations

205 Route 9 N
Ste 27
Freehold, NJ 07728

654 Newman Springs Rd
Ste D
Lincroft, NJ 07738
Phone (732) 520-1058

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

565 Highway 35
Ste 7
Red Bank, NJ 07701
Phone (732) 520-1058

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJEICD/Endpoint/JJEICD

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1649320359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 HIGHWAY 35",
            "address_2": "SUITE 7",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015047",
            "telephone_number": "732-530-1058",
            "fax_number": "732-530-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 HIGHWAY 35",
            "address_2": "SUITE 7",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015047",
            "telephone_number": "732-530-1058",
            "fax_number": "732-530-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYUR",
        "middle_name": "VINOD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07534600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064246",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.