NPIMap

Individual provider Active NPI

Kashmira Patel, M.D.

  • Internal Medicine Physician
  • Ocean, NJ
National Provider Identifier
1720063498
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07402500 Issued in NJ
Practice address
3200 Sunset Ave Ste 101
Ocean, NJ 07712-4556
Phone
(732) 775-1100
Fax
(732) 775-9165
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07402500 NJ Primary
Internal Medicine Physician 207R00000X 2111931 NY

Addresses

Primary practice location

3200 Sunset Ave Ste 101
Ocean, NJ 07712-4556

Mailing address

3200 Sunset Ave Ste 101
Ocean, NJ 07712-4556
Phone (732) 775-1100

Other identifiers 2

IdentifierTypeStateIssuer
01889138MedicaidNY
0095290MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000233 NJ Practitioner - Internal Medicine 9638185903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3200 Sunset Ave
Suite 101
Ocean, NJ 07712-4556
Phone (732) 775-1100

Hospital & facility affiliations

  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2111931NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kashmira Patel MD LLC Internal Medicine CurrentSince May 9, 2007 Accepting new patients
Broadway Cardiopulmonary, P.C. Internal Medicine Past Accepting new patients

Locations

3200 Sunset Ave
Ste 101
Ocean, NJ 07712
Phone (732) 775-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIHGBA/Endpoint/EIHGBA

Organizations & group practices 2

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 10

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1720063498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE STE 101",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124556",
            "telephone_number": "732-775-1100",
            "fax_number": "732-775-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE STE 101",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124556",
            "telephone_number": "732-775-1100",
            "fax_number": "732-775-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KASHMIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07402500",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2111931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01889138",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095290",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.