Individual provider Active NPI

Punam Patel, P.A.

  • Medical Physician Assistant
  • Florham Park, NJ
National Provider Identifier
1770617680
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00155100 Issued in NJ
Practice address
252 Columbia Tpke
Florham Park, NJ 07932-1237
Phone
(973) 660-9334
Fax
(973) 660-9732
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00155100 NJ Primary

Addresses

Primary practice location

252 Columbia Tpke
Florham Park, NJ 07932-1237

Mailing address

252 Columbia Tpke
Florham Park, NJ 07932-1237
Phone (973) 660-9334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080512000306 NJ Practitioner - Physician Assistant 8325131352 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Doctors Office of Manalapan LLC 9 clinicians
Urgent Care Physicians of New Jersey LLC 96 clinicians
Doctors Office of West Caldwell LLC 26 clinicians
Doctors Office of Brick 13 clinicians

Practice addresses (Care Compare)

120 Craig Rd
Manalapan, NJ 07726-3267
Phone (723) 414-2991

1919 Route 35
Wall Township, NJ 07719-3508
Phone (732) 280-2600

319 US Hwy 130
East Windsor, NJ 08520-2735
Phone (609) 426-4300

4074 US Hwy 9
Howell, NJ 07731-3315
Phone (732) 363-2273

418 Route 18
East Brunswick, NJ 08816-2303
Phone (732) 613-6168

556 Passaic Ave
West Caldwell, NJ 07006-7449
Phone (973) 808-2273

561 US Hwy 1 S Unit E3/E4
Immediate Care Medical Walk in
Edison, NJ 08817-4400
Phone (732) 933-0950

686 Route 70
Brick, NJ 08723-4026
Phone (732) 262-8200

811 Route 33
Hamilton, NJ 08619-4411
Phone (609) 586-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Emergency Medical Associates of New Jersey PA PastSince May 10, 2020 Accepting new patients
Essex Emergency Group PC Past Accepting new patients
Jersey Emergency Medical Associates LLC Past Accepting new patients
Rahway Emergency Medical Associates, LLC Past Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1770617680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 COLUMBIA TPKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321237",
            "telephone_number": "973-660-9334",
            "fax_number": "973-660-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 COLUMBIA TPKE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321237",
            "telephone_number": "973-660-9334",
            "fax_number": "973-660-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUNAM",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00155100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.