Active NPI
Kunjal Yeshesh Patel
- Nutritionist
- Orangeburg, NY
National Provider Identifier
1699546044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 010657-01
- Practice address
- 140 Old Orangeburg Rd
Orangeburg, NY 10962-1157 - Phone
- (845) 680-5965
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 010657-01 | NY | Primary |
Addresses
Primary practice location
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Mailing address
30-03 Gentner Rd
Fair Lawn, NJ 07410-4544
Phone (201) 774-6098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010657-01 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1699546044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30-03 GENTNER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074104544",
"telephone_number": "201-774-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 OLD ORANGEBURG RD",
"city": "ORANGEBURG",
"state": "NY",
"postal_code": "109621157",
"telephone_number": "845-680-5965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUNJAL",
"middle_name": "YESHESH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "010657-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.