Individual provider Active NPI

Meena S Patel, MD

  • Internal Medicine Physician
  • West Paterson, NJ
National Provider Identifier
1730128901
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA035685 Issued in NJ
Practice address
1031 McBride Ave
Suite D212
West Paterson, NJ 07424-2559
Phone
(973) 890-1303
Fax
(973) 890-5609
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA035685 NJ Primary

Addresses

Primary practice location

1031 McBride Ave
Suite D212
West Paterson, NJ 07424-2559

Mailing address

1031 McBride Ave
Suite D212
West Paterson, NJ 07424-2559
Phone (973) 890-1303

Other identifiers 9

IdentifierTypeStateIssuer
1753401MedicaidNJ
IP076OtherNJOXFORD
4109550OtherNJAETNA HMO
F00915OtherNJHEALTHNET
005AT1OtherNJEMPIRE BC/BS
110013667OtherNJRAILROAD MEDICARE
2117469OtherNJAETNA PPO
0016588OtherNJGHI PPO
2107669002OtherNJAMERIHEALTH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090305000716 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9537225123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA035685NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical and Health Associates,LLC Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
Gastroenterology Associates of New Jersey, LLC PastSince Sep 2, 2008 Accepting new patients
Internal Medicine Associates of Lincoln Park, P.a. PastSince Jul 16, 2011 Accepting new patients

Locations

22-18 Broadway
Fair Lawn, NJ 07410
Phone (973) 475-5050

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

Interoperability endpoints

  • Direct secure messaging: meena.patel@direct.carepointhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1730128901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE",
            "address_2": "SUITE D212",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242559",
            "telephone_number": "973-890-1303",
            "fax_number": "973-890-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE",
            "address_2": "SUITE D212",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242559",
            "telephone_number": "973-890-1303",
            "fax_number": "973-890-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEENA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA035685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1753401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "IP076",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "4109550",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F00915",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "005AT1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110013667",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "2117469",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "0016588",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2107669002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Paterson, NJ

Sources for this page

Verify at the official NPI Registry.