Individual provider Active NPI

Dipan G Patel, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Clifton, NJ
National Provider Identifier
1689939548
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA10034400 Issued in NJ
Practice address
1117 Route 46 Ste 201
Clifton, NJ 07013-2450
Phone
(973) 777-5444
NPI assigned
Jul 6, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA10034400 NJ Primary

Addresses

Primary practice location

1117 Route 46 Ste 201
Clifton, NJ 07013-2450

Mailing address

1117 Route 46 Ste 201
Clifton, NJ 07013-2450
Phone (973) 777-5444

Other practice location 1

631-645 Grand St
Suite 2-100
Jersey City, NJ 07304
Phone (973) 777-5444

Other practice location 2

25 Main St Ste 12
Edison, NJ 08837-3448
Phone (732) 376-0330

Other practice location 3

550 1st Ave
New York, NY 10016-6402
Phone (212) 263-7300

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
I20170621001679 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 1153699814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden State Pain Control Center PAGroup PAC ID 4385624485, 10 clinicians

Practice addresses (Care Compare)

1117 Route 46 E
Suite 301
Clifton, NJ 07013-2450
Phone (973) 777-5444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10034400NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oradell Anesthesia Associates LLC CurrentSince Jul 15, 2017 Accepting new patients
Florham Spine & Joint Center LLC CurrentSince Oct 1, 2025 Accepting new patients
Garden State Pain Control Center P.a. CurrentSince Jul 1, 2017 Accepting new patients

Locations

1117 US Highway 46
Ste 201
Clifton, NJ 07013
Phone (973) 365-2208

1117 US Highway 46
Ste 301
Clifton, NJ 07013
Phone (973) 777-5444

25 Main St
Ste 12
Edison, NJ 08837
Phone (732) 376-0330

226 Middle Rd
Ste 4
Hazlet, NJ 07730

631 Grand St
Ste 2100
Jersey City, NJ 07304
Phone (201) 706-2033

443 Northfield Ave
Ste 302
West Orange, NJ 07052
Phone (973) 777-5444

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689939548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46 STE 201",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132450",
            "telephone_number": "973-777-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 46 STE 201",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132450",
            "telephone_number": "973-777-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631-645 Grand St",
            "address_2": "Suite 2-100",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "07304",
            "country_code": "US",
            "telephone_number": "973-777-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Main St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088373448",
            "country_code": "US",
            "telephone_number": "732-376-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA10034400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.