Organization Active NPI

Jayeshkumar S Patel MD PC

  • Nephrology Physician
  • Parsippany, NJ
National Provider Identifier
1700161924
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA06719700 Issued in NJ
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Jayeshkumar S Patel, MDNPI 1962509265
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8551804MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.