Active NPI
Rajen S Patel
- Pharmacist
- Elizabeth, NJ
National Provider Identifier
1679155089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03386900
- Practice address
- 530 Westfield Ave
Elizabeth, NJ 07208-1623 - Phone
- (908) 469-4061
- NPI assigned
- Apr 25, 2021
- Last updated
- Apr 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03386900 | NJ | Primary |
Addresses
Primary practice location
530 Westfield Ave
Elizabeth, NJ 07208-1623
Mailing address
25 Stiles Rd
Edison, NJ 08817-4165
Phone (201) 920-7934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03386900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P & C Medical Group, LLC | Current | Accepting new patients | |
| Gauri Pharmacy Inc | Past | Accepting new patients |
Locations
530 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 469-4061
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Elizabeth, NJ
- NPI 1760785398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619308800000",
"number": "1679155089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 STILES RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088174165",
"telephone_number": "201-920-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 WESTFIELD AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081623",
"telephone_number": "908-469-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJEN",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-25",
"last_updated": "2021-04-25",
"certification_date": "2021-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03386900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.