Individual provider Active NPI

Jinal Patel, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glassboro, NJ
National Provider Identifier
1710464110
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00842500 Issued in NJ
Practice address
42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone
(844) 422-3632
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00842500 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00842500 NJ Primary

Addresses

Primary practice location

42 Delsea Dr S
Glassboro, NJ 08028-2621

Mailing address

128 Creast Haven Rd
Cape May Court House, NJ 08210
Phone (609) 465-0258

Other practice location 1

3 W 3rd Ave
Cape May Court House, NJ 08210
Phone (609) 849-1753

Other practice location 2

128 creast haven Rd
cape may court house, NJ 08210
Phone (609) 465-0258

Other practice location 3

3700 New Jersey Ave
Wildwood, NJ 08260-6154
Phone (609) 465-0258

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018002141 NJ Practitioner - Nurse Practitioner 7416200514 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Srisai Gowda MD LLCGroup PAC ID 2466423678, 5 clinicians
Acenda, Inc.Group PAC ID 0042290678, 27 clinicians

Practice addresses (Care Compare)

2106 New Rd
Linwood, NJ 08221-1050
Phone (609) 927-1030

42 Delsea Dr S
Glassboro, NJ 08028-2621
Phone (844) 422-3632

42 S Delsea Dr
Glassboro, NJ 08028-2621

Hospital & facility affiliations

  • Bakersfield Community Home Health Home health agency, Bakersfield, CA, CCN 059738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00842500NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Srisai Gowda MD LLC CurrentSince Jun 1, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Acenda, Inc. CurrentSince Sep 11, 2021 Accepting new patients
Community Health Care, Inc. CurrentSince Oct 1, 2018 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

128 Crest Haven Rd
Cape May Court House, NJ 08210
Phone (609) 465-4100

42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

2106 New Rd
Ste D8
Linwood, NJ 08221
Phone (609) 344-1118

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1710464110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CREAST HAVEN RD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "609-465-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DELSEA DR S",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282621",
            "telephone_number": "844-422-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Cape May Court House",
            "state": "NJ",
            "postal_code": "08210",
            "country_code": "US",
            "telephone_number": "609-849-1753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 creast haven Rd",
            "address_purpose": "LOCATION",
            "city": "cape may court house",
            "state": "NJ",
            "postal_code": "08210",
            "country_code": "US",
            "telephone_number": "609-465-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 New Jersey Ave",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "NJ",
            "postal_code": "082606154",
            "country_code": "US",
            "telephone_number": "609-465-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JINAL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00842500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00842500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.