Individual provider Active NPI

Aruna Sureshbhai Patel, M.D. LLC.

  • Family Medicine Physician
  • Elizabeth, NJ
National Provider Identifier
1770568610
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03684700 Issued in NJ
Practice address
725 N Broad St
Elizabeth, NJ 07208-2347
Phone
(908) 351-8989
Fax
(908) 351-8879
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA03684700 NJ Primary

Addresses

Primary practice location

725 N Broad St
Elizabeth, NJ 07208-2347

Mailing address

725 N Broad St
Elizabeth, NJ 07208-2347
Phone (908) 351-8989

Other identifiers 13

IdentifierTypeStateIssuer
0028598OtherNJGHI
1044481OtherNJHORIZON N.J. HEALTH
01000020700OtherNJAMERICHOICE
11045OtherNJUNIVERSITY HEALTH PLANS,
222328190-001OtherNJQUALCARE
469006OtherNJAETNA
156267OtherNJONE HEALTH PLAN
010000207 00OtherNJAMERICHOICE PERSONAL CARE
0112022001OtherNJAMERIHEALTH
153412OtherNJUNITED HEALTHCARE
3834701MedicaidNJ
3839701OtherNJAMERIGROUP
0004117590OtherNJAETNA

Other names 1

  • Dr. Aruna S Patel Other name

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
25MA03684700NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770568610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082347",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082347",
            "telephone_number": "908-351-8989",
            "fax_number": "908-351-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ARUNA",
        "middle_name": "SURESHBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D. LLC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03684700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0028598",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON N.J. HEALTH",
            "identifier": "1044481",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000020700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLANS,",
            "identifier": "11045",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "222328190-001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "469006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "156267",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE PERSONAL CARE",
            "identifier": "010000207 00",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0112022001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "153412",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3834701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "3839701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004117590",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARUNA",
            "last_name": "PATEL",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D  LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.