Active NPI
Jayeshkumar S Patel MD PC
- Nephrology Physician
- Parsippany, NJ
National Provider Identifier
1700161924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA06719700
- Legal business name
- JAYESHKUMAR S PATEL MD PC
- Practice address
- 60 Baldwin Rd
Suite 102
Parsippany, NJ 07054-2901 - Phone
- (201) 209-1802
- Fax
- (201) 604-8400
- NPI assigned
- Oct 19, 2011
- Last updated
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayeshkumar S Patel, MD
- Title
- MD
- Phone
- (201) 209-1802
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA06719700 | NJ | Primary |
Addresses
Primary practice location
60 Baldwin Rd
Suite 102
Parsippany, NJ 07054-2901
Mailing address
550 Summit Ave
Basement
Jersey City, NJ 07306-2707
Phone (201) 209-1802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8551804 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Jersey City, NJ
- NPI 1962509265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1700161924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 SUMMIT AVE",
"address_2": "BASEMENT",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062707",
"telephone_number": "201-209-1802",
"fax_number": "201-604-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BALDWIN RD",
"address_2": "SUITE 102",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070542901",
"telephone_number": "201-209-1802",
"fax_number": "201-604-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYESHKUMAR S PATEL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "JAYESHKUMAR",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "201-209-1802",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA06719700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8551804",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.