Suketu Pathak

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03935100 Issued in NJ

Practice address

611 Park Ave
Plainfield, NJ 07060-1612

Phone

(570) 630-5085

NPI assigned

Aug 14, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1689154106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MARTIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121108",
            "telephone_number": "973-979-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601612",
            "telephone_number": "570-630-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "SUKETU",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03935100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kishan G Patel, PHARMD
• Nikulkumar Ashwinbhai Patel
• Rajesh T Patel, D.O.
• Riya Patel, PA-C
• Swapna J Patel, DPT
• Pathway to Wellness
• Peaks Developmental Services, Inc.
• Demetria Pennington, MD
• Stella C Peters, M.A., CCC-SLP
• Kadian P. Peynado, LPC

• Pharmacist in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.