Individual provider Active NPI

Krupali Patel, MD

  • Pediatrics Physician
  • Highland Park, NJ
National Provider Identifier
1770012353
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA10903100 Issued in NJ
Practice address
317 Cleveland Avenue
Suite 204
Highland Park, NJ 08904
Phone
(732) 249-8999
NPI assigned
Jun 7, 2017
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 25MA10903100 NJ
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 25MA10903100 NJ Primary

Addresses

Primary practice location

317 Cleveland Avenue
Suite 204
Highland Park, NJ 08904

Mailing address

575 Route 28
Suite 2205
Raritan, NJ 08869
Phone (908) 725-5530

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10903100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Pediatric Group, LLC Multi-Specialty CurrentSince Jun 6, 2021 Accepting new patients
Kidney Disease and Dialysis Associates, PA Multi-Specialty Past Accepting new patients

Locations

2345 Lamington Rd
Ste 101
Bedminster, NJ 07921
Phone (908) 470-1124

317 Cleveland Ave
Ste 204
Highland Park, NJ 08904
Phone (732) 249-8999

1C New Amwell Rd
Hillsborough, NJ 08844
Phone (908) 874-5035

59 E Mill Rd
Unit 101
Long Valley, NJ 07853
Phone (908) 876-4900

575 Route 28
Ste 2100
Raritan, NJ 08869
Phone (908) 725-1802

575 Route 28
Ste 2205
Raritan, NJ 08869

2 Worlds Fair Dr
Ste 302
Somerset, NJ 08873
Phone (732) 271-7788

65 Mountain Blvd Ext
Warren, NJ 07059
Phone (732) 356-6200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1770012353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28",
            "address_2": "SUITE 2205",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "08869",
            "telephone_number": "908-725-5530",
            "fax_number": "908-253-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CLEVELAND AVENUE",
            "address_2": "SUITE 204",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-249-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUPALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "25MA10903100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10903100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.