Organization Active NPI

Kishan-Henal Limited Liability Company

  • Primary Care Clinic/Center
  • Toms River, NJ
National Provider Identifier
1720334550
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0400485692 Issued in NJ
Legal business name
KISHAN-HENAL LIMITED LIABILITY COMPANY
Practice address
1008 Commons Way
Toms River, NJ 08755-6429
Phone
(732) 228-7407
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Himanshu K Patel, M.D.NPI 1619142833
Title
President
Phone
(732) 864-7324

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
Primary Care Clinic/Center 261QP2300X 0400485692 NJ Primary

Addresses

Primary practice location

1008 Commons Way
Toms River, NJ 08755-6429

Mailing address

223 Gordons Corner Rd
Marlboro, NJ 07746-1257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000140 NJ Part B Supplier - Clinic/Group Practice 9335397660 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

9 Hospital Dr
Ste C12
Toms River, NJ 08755
Phone (732) 228-7407

1008 Commons Way
Toms River, NJ 08755
Phone (732) 228-7407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1720334550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 GORDONS CORNER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 COMMONS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556429",
            "telephone_number": "732-228-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHAN-HENAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-864-7324",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "0400485692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.