Rupal Patel Kaistha, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00596000 Issued in NJ

Practice address

1032 Cherry Hill Mall
Dr. Daniel H. Isaac, O.D., P.a. & Assoc.
Cherry Hill, NJ 08002-2100

Phone

(856) 665-4111

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Rupal Pravin Patel Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Jersey Eye Associates LLC

  • Optometrist
  • Atco, NJ
  • NPI 1467079897
  Medicare reassignment Authorized official
• Hammonton Family Eyecare, LLC

  • Eyewear Supplier
  • Hammonton, NJ
  • NPI 1134346232
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Marlton, NJ
  • NPI 1386681518
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679692685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HERON POINTE CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 CHERRY HILL MALL",
            "address_2": "DR. DANIEL H. ISAAC, O.D., P.A. & ASSOC.",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022100",
            "telephone_number": "856-665-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISTHA",
        "first_name": "RUPAL",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00596000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066095",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUPAL",
            "last_name": "PATEL",
            "middle_name": "PRAVIN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric M Kahn, PT, DPT
• Marc Leslie Kahn, MD
• Samantha Kahn, LCSW
• Suzanne Kahn, LCSW
• Matthew Kaiser
• Kajar, Inc. (Right At Home)
• John Kalaitzis
• Ann Kalathil, CCC-SLP
• Herbert Anthony Kaldany, D.O.
• Krista Kalil

• Optometrist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.