Active NPI
Kinjal H Patel, DMD
- Dentist
- College Point, NY
National Provider Identifier
1710589239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02818600
- Practice address
- 23-12 127TH St
College Point, NY 11356 - Phone
- (973) 521-2900
- NPI assigned
- Nov 10, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02818600 | NJ | Primary |
Addresses
Primary practice location
23-12 127TH St
College Point, NY 11356
Mailing address
23-12 127TH St
College Point, NY 11356
Phone (973) 521-2900
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220103001555 | NJ | Order and Referring Only - Dentist | 8224429170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679788800000",
"number": "1710589239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23-12 127TH ST",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "11356",
"telephone_number": "973-521-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-12 127TH ST",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "11356",
"telephone_number": "973-521-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KINJAL",
"middle_name": "H",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2023-03-26",
"certification_date": "2023-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02818600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2023; 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.