Individual provider Active NPI

Nimali S Patel, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1710906284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4430 Issued in MA
Practice address
165 Cambridge St
Boston, MA 02114-2783
Phone
(617) 367-2462
Fax
(617) 367-2462
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4430 MA Primary

Addresses

Primary practice location

165 Cambridge St
Boston, MA 02114-2783

Mailing address

6 Whittier PL
Apt 16B
Boston, MA 02114-1443
Phone (973) 207-3369

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111031000587 NJ Practitioner - Optometry 5496648891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles M Cummins, OD, PAGroup PAC ID 0446246995, 24 clinicians

Practice addresses (Care Compare)

1255 Broad St
Bloomfield, NJ 07003-3000
Phone (973) 338-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4430MAMDOptometrist
006860NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James Hirschfeld MD PC CurrentSince Nov 8, 2021 Accepting new patients
Charles M Cummins, OD, PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients
Charles M. Cummins, OD., PA Optometrist CurrentSince Jun 3, 2017 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

641 Shunpike Rd
Chatham Twp, NJ 07928
Phone (201) 377-5566

371 E Northfield Rd
Livingston, NJ 07039
Phone (973) 588-7005

30 Lafayette Ave
Morristown, NJ 07960
Phone (973) 267-9800

3799 Route 46
Ste 300
Parsippany, NJ 07054
Phone (973) 331-0300

500 Route 23
Ste 7
Pompton Plains, NJ 07444
Phone (973) 616-7171

426 Raritan St
Sayreville, NJ 08872
Phone (908) 727-2200

120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063

255 US Highway 46
Totowa, NJ 07512
Phone (973) 785-8000

Interoperability endpoints

  • Direct secure messaging: nimali.patel.p1@direct.eyedocnj.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710906284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHITTIER PL",
            "address_2": "APT 16B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141443",
            "telephone_number": "973-207-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142783",
            "telephone_number": "617-367-2462",
            "fax_number": "617-367-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIMALI",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.