Individual provider Active NPI

Parag S Patel, M.D.

  • Family Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1689751646
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07629900 Issued in NJ
Practice address
75 S White Horse Pike FRNT
Hammonton, NJ 08037-1872
Phone
(609) 561-0128
Fax
(609) 561-4468
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA076299 NJ
Family Medicine Physician 207Q00000X 25MA07629900 NJ Primary

Addresses

Primary practice location

75 S White Horse Pike FRNT
Hammonton, NJ 08037-1872

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
0045039MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppatel13198@directvirtua.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000376 NJ Practitioner - Family Practice 7810960192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tabernacle Family Physicians LLCGroup PAC ID 0547366064, 4 clinicians
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Elmwood Family PhysiciansGroup PAC ID 6103883657, 5 clinicians

Practice addresses (Care Compare)

1529 Route 206
Suite L
Tabernacle, NJ 08088-8801
Phone (609) 268-0707

3242 Route 206
Bordentown, NJ 08505-4517

75 S White Horse Pike
Hammonton, NJ 08037-1872

777 Route 70 E
Suite G101
Marlton, NJ 08053-2548
Phone (856) 983-9939

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07629900NJMDFamily Medicine Physician
MA076299NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Apr 6, 2011 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince Apr 6, 2011 Accepting new patients
Tabernacle Family Physicians LLC CurrentSince Jan 1, 2007 Accepting new patients
Elmwood Family Physicians Family Medicine CurrentSince Jul 19, 2004 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

75 S White Horse Pike
Frnt
Hammonton, NJ 08037
Phone (609) 561-0128

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

767 Route 70 E
Ste B101
Marlton, NJ 08053
Phone (856) 983-9939

777 Route 70 E
Ste G102
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

1529 Route 206
Ste L
Tabernacle, NJ 08088
Phone (609) 268-0707

Interoperability endpoints

  • Direct secure messaging: parag.patel@efp.directbygreenway.com
  • Direct secure messaging: ppatel13198@directvirtua.org
  • Direct secure messaging: parag.patel@tfp.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1689751646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S WHITE HORSE PIKE FRNT",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371872",
            "telephone_number": "609-561-0128",
            "fax_number": "609-561-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARAG",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA076299",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07629900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045039",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppatel13198@directvirtua.org",
            "affiliation": "N",
            "address_1": "75 S White Horse Pike Frnt",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080371872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.