Active NPI
Jagruti Patel, M.D.
- Plastic Surgery Physician
- Beverly, MA
National Provider Identifier
1770537151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 202942
- Practice address
- 75 Herrick St
Parkhurst Building
Beverly, MA 01915-5900 - Phone
- (978) 927-6556
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 202942 | MA | Primary |
Addresses
Primary practice location
75 Herrick St
Parkhurst Building
Beverly, MA 01915-5900
Mailing address
75 Herrick St
Parkhurst Building
Beverly, MA 01915-5900
Phone (978) 927-6556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0144231 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202942 | MA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1770537151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 HERRICK ST",
"address_2": "PARKHURST BUILDING",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155900",
"telephone_number": "978-927-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HERRICK ST",
"address_2": "PARKHURST BUILDING",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155900",
"telephone_number": "978-927-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAGRUTI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "202942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0144231",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.