Karishma Patel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00415500 Issued in NJ

Practice address

1005 N Washington Ave
Green Brook, NJ 08812-2619

Phone

(732) 850-8156

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medemerge LLCGroup PAC ID 1456340595, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Medemerge LLC

  dba Medemerge Medical Associates, PA

  • Primary Care Clinic/Center
  • Green Brook, NJ
  • NPI 1366656431
  Medicare reassignment Care Compare group
• Practice Associates Medical Group

  dba Atlantic Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment
• Medemerge P.a.

  • Family Medicine Physician
  • Green Brook, NJ
  • NPI 1184643132
  NPD

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1689126179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOPKINSON LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N WASHINGTON AVE",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088122619",
            "telephone_number": "732-850-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KARISHMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00415500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey CVS Pharmacy LLC (CVS Pharmacy 01927)
• Mary T Nowak, PAC
• Adetutu Zainab Ogunmefun, FNP, PMHNP-BC
• Sebastian Pawel Opar, PA-C
• Chinenye Angela Opara
• Performance Medical Group (Performance Rehabilitation and Regenative Medicine)
• Dennis Petrini, DMD
• Physician's Weightloss, PC (Medi-Weightloss)
• Marissa Bari Pilitzer, PA-C
• John Dominick Pilla, MD

• Physician Assistant in Green Brook, NJ
• Providers in Green Brook, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.