Individual provider Active NPI

Nilesh R. Patel, D.M.D.,M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Somerset, NJ
National Provider Identifier
1740212992
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI02288500 Issued in NJ
Practice address
1505 State Route 27
Somerset, NJ 08873-4018
Phone
(732) 846-6350
Fax
(732) 846-6311
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DI02288500 NJ Primary

Addresses

Primary practice location

1505 State Route 27
Somerset, NJ 08873-4018

Mailing address

1505 State Route 27
Somerset, NJ 08873-4018
Phone (732) 846-6350

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DI02288500NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Nilesh R. Patel, DMD., MD Oral and Maxillofacial Surgery Past Accepting new patients
Edison-Clark Oral Surgery Associates Oral and Maxillofacial Surgery PastSince Feb 4, 1992 Accepting new patients
Primary Care Group LLC PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1740212992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 STATE ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734018",
            "telephone_number": "732-846-6350",
            "fax_number": "732-846-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STATE ROUTE 27",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734018",
            "telephone_number": "732-846-6350",
            "fax_number": "732-846-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NILESH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI02288500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.