Active NPI
Sanjiv C Patel, M.D.
- Family Medicine Physician
- Moorestown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA05916000
- Practice address
- 147 E 3Rd St
Ste 2
Moorestown, NJ 08057-2924 - Phone
- (856) 234-2500
- Fax
- (856) 234-3907
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA05916000 | NJ | Primary |
Addresses
Primary practice location
147 E 3Rd St
Ste 2
Moorestown, NJ 08057-2924
Mailing address
147 E 3Rd St
Ste 2
Moorestown, NJ 08057-2924
Phone (856) 234-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7559500 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spatel14368@directvirtua.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
147 E 3Rd St
Suite 2
Moorestown, NJ 08057-2924
Phone (856) 234-2500
Hospital & facility affiliations
- Virtua Home Care at West Jersey
- Bayada Home Health Care, Inc
- Samaritan Healthcare and Hospice
- Virtua Mount Holly Hospital
- West Jersey Hospital
- Virtua Our Lady of Lourdes Hospital
- Virtua Willingboro Hospital
- Penn Presbyterian Medical Center
- Mount Holly Rehabilitation & Healthcare Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05916000 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Mount Holly Operator LLC | Past | Accepting new patients | |
| Virtua Surgical Group, P.a | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1000 Atlantic Ave
Camden, NJ 08104
Phone (856) 246-3060
62 Richmond Ave
Lumberton, NJ 08048
Phone (609) 267-8800
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
303 Lippincott Dr
Marlton, NJ 08053
542 Lippincott Dr
Marlton, NJ 08053
Phone (856) 596-3393
147 E 3rd St
Ste 2
Moorestown, NJ 08057
Phone (856) 234-2500
7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500
Interoperability endpoints
- spatel14368@directvirtua.org
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Skilled Nursing Facility
- Lumberton, NJ
- NPI 1861143992
-
- Surgery Physician
- Cherry Hill, NJ
- NPI 1184811945
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
- Community Based Hospice Care Agency
- Mount Laurel, NJ
- NPI 1144227646
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
-
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1720113962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 E 3RD ST",
"address_2": "STE 2",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572924",
"telephone_number": "856-234-2500",
"fax_number": "856-234-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 E 3RD ST",
"address_2": "STE 2",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572924",
"telephone_number": "856-234-2500",
"fax_number": "856-234-3907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SANJIV",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA05916000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7559500",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spatel14368@directvirtua.org",
"affiliation": "N",
"address_1": "147 E 3rd St",
"address_2": "Ste 2",
"city": "Moorestown",
"state": "NJ",
"country_code": "US",
"postal_code": "080572924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.