Organization Active NPI

Ravin Vipin Patel Medical PC

  • Family Medicine Physician
  • Floral Park, NY
National Provider Identifier
1750059804
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAVIN VIPIN PATEL MEDICAL PC
Practice address
271 Jericho Tpke Ste 1002
Floral Park, NY 11001-2169
Phone
(718) 608-6182
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Ravin Patel, MDNPI 1245647510
Title
Owner
Phone
(718) 608-6182

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

271 Jericho Tpke Ste 1002
Floral Park, NY 11001-2169

Mailing address

271 Jericho Tpke Ste 1002
Floral Park, NY 11001-2169
Phone (718) 608-6182

Other practice location 1

100 Duffy Ave Ste 500
Hicksville, NY 11801-3636
Phone (718) 307-1577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220517000480 NY Part B Supplier - Clinic/Group Practice 2668859422 Receives reassigned benefits from 1 practitioner
Practice locations: Floral Park, NY; Maspeth, NY; Middle Village, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2311047Ravin Vipin Patel Medical PC271 Jericho Turnpike, Suite 1002, Floral Park, NY 11001Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

271 Jericho Tpke
Ste 1002
Floral Park, NY 11001
Phone (718) 608-6182

100 Duffy Ave
Ste 500
Hicksville, NY 11801
Phone (718) 307-1577

7116 Grand Ave
Fl NO1
Maspeth, NY 11378
Phone (718) 307-1577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1750059804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 JERICHO TPKE STE 1002",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012169",
            "telephone_number": "718-608-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 JERICHO TPKE STE 1002",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012169",
            "telephone_number": "718-608-6182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Duffy Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013636",
            "country_code": "US",
            "telephone_number": "718-307-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAVIN VIPIN PATEL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-608-6182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.