Active NPI
Heena G Patel, OD
- Optometrist
- Bloomfield, NJ
National Provider Identifier
1700385366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008698-1
- Practice address
- 5 Lawrence St Unit 514
Bloomfield, NJ 07003-4668 - Phone
- (314) 915-5556
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 008698-1 | NY | Primary |
Addresses
Primary practice location
5 Lawrence St Unit 514
Bloomfield, NJ 07003-4668
Mailing address
5 Lawrence St Unit 514
Bloomfield, NJ 07003-4668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008698-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1700385366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LAWRENCE ST UNIT 514",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070034668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LAWRENCE ST UNIT 514",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070034668",
"telephone_number": "314-915-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HEENA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008698-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.