Individual provider Active NPI

Marmik Patel

  • Medical Laboratory Technician
  • Edison, NJ
National Provider Identifier
1740933662
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
License
31D2102511 Issued in NJ
Practice address
345 Plainfield Ave Ste 101
Edison, NJ 08817-3119
Phone
(173) 274-4670
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RM2200X 31D2102511 NJ Primary

Addresses

Primary practice location

345 Plainfield Ave Ste 101
Edison, NJ 08817-3119

Mailing address

345 Plainfield Ave Ste 101
Edison, NJ 08817-3119
Phone (173) 274-4670

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

LicenseStateTypeSpecialty
31D2102511NJMDMedical Laboratory Technician

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1740933662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PLAINFIELD AVE STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173119",
            "telephone_number": "173-274-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PLAINFIELD AVE STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173119",
            "telephone_number": "173-274-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MARMIK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NJ",
            "license": "31D2102511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.