Active NPI
Amrish Patel, MD
- Pain Medicine (Anesthesiology) Physician
- Secaucus, NJ
National Provider Identifier
1689683542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA07127500
- Practice address
- 714 10TH Street
Suite 6a
Secaucus, NJ 07094 - Phone
- (201) 974-1541
- Fax
- (201) 974-1581
- NPI assigned
- Aug 7, 2006
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA07127500 | NJ | Primary |
Addresses
Primary practice location
714 10TH Street
Suite 6a
Secaucus, NJ 07094
Mailing address
714 10TH Street
Suite 6a
Secaucus, NJ 07094
Phone (201) 974-1541
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070608000229 | NJ | Practitioner - Anesthesiology | 2264530666 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Lee Medical Center, Inc. | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pain Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Fort Lee Surgery Center
- Ambulatory Surgical Clinic/Center
- Fort Lee, NJ
- NPI 1467681775
-
dba Anesthesiology Services of CPMC
- Anesthesiology Physician
- New York, NY
- NPI 1841239829
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689683542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 10TH STREET",
"address_2": "SUITE 6A",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "07094",
"telephone_number": "201-974-1541",
"fax_number": "201-974-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 10TH STREET",
"address_2": "SUITE 6A",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "07094",
"telephone_number": "201-974-1541",
"fax_number": "201-974-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMRISH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA07127500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.