Organization Active NPI

Harshit M. Patel Physician, MD, PC

  • Allergy Physician
  • Hicksville, NY
National Provider Identifier
1720167554
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
220306 Issued in NY
Legal business name
HARSHIT M. PATEL PHYSICIAN, MD, PC
Practice address
120 Bethpage Rd
Suite 310
Hicksville, NY 11801-1515
Phone
(516) 822-6655
Fax
(516) 214-8072
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Harshit M. Patel, MDNPI 1467453571
Title
Owner
Phone
(516) 822-6655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 220306 NY Primary

Addresses

Primary practice location

120 Bethpage Rd
Suite 310
Hicksville, NY 11801-1515

Mailing address

120 Bethpage Rd
Suite 310
Hicksville, NY 11801-1515
Phone (516) 822-6655

Other identifiers 1

IdentifierTypeStateIssuer
02315557MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041124000688 NY Part B Supplier - Clinic/Group Practice 5597720995 Receives reassigned benefits from 9 practitioners
Practice locations: Oceanside, NY; Huntington Station, NY; Hicksville, NY; Brentwood, NY; Belle Harbor, NY; Babylon, NY; Glen Oaks, NY

National Provider Directory

National Provider Directory

Locations

120 Bethpage Rd
Ste 310
Hicksville, NY 11801
Phone (516) 822-6655

3051 Long Beach Rd
Ste 2
Oceanside, NY 11572
Phone (516) 822-6655

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1720167554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD",
            "address_2": "SUITE 310",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-822-6655",
            "fax_number": "516-214-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD",
            "address_2": "SUITE 310",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-822-6655",
            "fax_number": "516-214-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARSHIT M. PATEL PHYSICIAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHIT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-822-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "220306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02315557",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.