Active NPI
Dhara Patel
- Adult Medicine Physician
- Short Hills, NJ
National Provider Identifier
1730878786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 26NJ014663300
- Practice address
- 770 Morris Tpke Ste 111
Short Hills, NJ 07078-2699 - Phone
- (866) 540-4855
- NPI assigned
- May 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 26NJ014663300 | NJ | Primary |
Addresses
Primary practice location
770 Morris Tpke Ste 111
Short Hills, NJ 07078-2699
Mailing address
110 Parkview LN
Rockaway, NJ 07866-2064
Phone (973) 449-1404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ014663300 | NJ | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1730878786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PARKVIEW LN",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078662064",
"telephone_number": "973-449-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 MORRIS TPKE STE 111",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070782699",
"telephone_number": "866-540-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "NJ",
"license": "26NJ014663300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Short Hills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.