NPIMap

Individual provider Active NPI

Munjal P. Patel, M.D.

  • Plastic Surgery Physician
  • Holmdel, NJ
National Provider Identifier
1760691406
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MA08357500 Issued in NJ
Practice address
733 N Beers St
Suite U-1
Holmdel, NJ 07733-1528
Phone
(732) 739-2100
Fax
(732) 739-0815
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA08357500 NJ Primary
Plastic Surgery Physician 208200000X 220991 NY

Addresses

Primary practice location

733 N Beers St
Suite U-1
Holmdel, NJ 07733-1528

Mailing address

733 N Beers St
Suite U-1
Holmdel, NJ 07733-1528
Phone (732) 739-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000475 NJ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 5092889444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samra Plastic and Reconstructive Surgery LLCGroup PAC ID 3274545330, 9 clinicians

Practice addresses (Care Compare)

300 Perrine Rd
Suite 333
Old Bridge, NJ 08857-3627

733 N Beers St
Suite U1
Holmdel, NJ 07733-1513
Phone (732) 739-2100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue128
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samra Plastic and Reconstructive Surgery LLC CurrentSince Aug 1, 2008 Accepting new patients

Locations

733 N Beers St
Ste U1
Holmdel, NJ 07733
Phone (732) 739-2100

733 N Beers St
Holmdel, NJ 07733
Phone (732) 264-8484

300 Perrine Rd
Ste 333
Old Bridge, NJ 08857
Phone (732) 289-9335

300 Perrine Rd
Ste 331333
Old Bridge, NJ 08857

Interoperability endpoints

  • Direct secure messaging: mpatel425375@direct.ahsys.org
  • Direct secure messaging: munjal.patel@samra.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1760691406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST",
            "address_2": "SUITE U-1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331528",
            "telephone_number": "732-739-2100",
            "fax_number": "732-739-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N BEERS ST",
            "address_2": "SUITE U-1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331528",
            "telephone_number": "732-739-2100",
            "fax_number": "732-739-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUNJAL",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA08357500",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "220991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.