Organization Active NPI

City Medical Office PC.

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1780036053
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
265750 Issued in NY
Legal business name
CITY MEDICAL OFFICE PC.
Practice address
11 Ralph PL Ste 105
Staten Island, NY 10304-4405
Phone
(718) 697-7286
Fax
(888) 501-6619
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. Rattan M Patel, MDNPI 1922295799
Title
Doctor
Phone
(718) 213-1416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 262002 NY
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 262002 NY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 265750 NY Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 265750 NY
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 265750 NY
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 265750 NY
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 262002 NY
Primary Care Clinic/Center 261QP2300X 265750 NY

Addresses

Primary practice location

11 Ralph PL Ste 105
Staten Island, NY 10304-4405

Mailing address

980 W Fingerboard Rd
Staten Island, NY 10304-4414
Phone (718) 213-1416

Other practice location 1

7101 Narrows Ave
Brooklyn, NY 11209-1805
Phone (718) 213-1416

Other practice location 2

2601 Ocean Pkwy Fl 9
Brooklyn, NY 11235-7745
Phone (718) 268-0065

Other practice location 3

176 Palisade Ave Ste 216
Jersey City, NJ 07306-1121
Phone (201) 795-8200

Other names 1

  • City Medical Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170327002135 NY Part B Supplier - Clinic/Group Practice 8022393404 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY
O20200603000077 NJ Part B Supplier - Clinic/Group Practice 8022393404 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

176 Palisade Ave
Ste 216
Jersey City, NJ 07306
Phone (201) 795-8200

9602 4th Ave
Ste 4
Brooklyn, NY 11209

2601 Ocean Pkwy
Fl 9
Brooklyn, NY 11235
Phone (718) 268-0065

11 Ralph Pl
Ste 105
Staten Island, NY 10304
Phone (718) 213-1416

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1780036053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W FINGERBOARD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044414",
            "telephone_number": "718-213-1416",
            "fax_number": "888-501-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL STE 105",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044405",
            "telephone_number": "718-697-7286",
            "fax_number": "888-501-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Narrows Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112091805",
            "country_code": "US",
            "telephone_number": "718-213-1416",
            "fax_number": "888-501-6619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Ocean Pkwy Fl 9",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357745",
            "country_code": "US",
            "telephone_number": "718-268-0065",
            "fax_number": "888-501-6619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 Palisade Ave Ste 216",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073061121",
            "country_code": "US",
            "telephone_number": "201-795-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY MEDICAL OFFICE PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RATTAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-213-1416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "262002",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "262002",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265750",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "265750",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "265750",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "265750",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "262002",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "265750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Medical Institute",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "City Medical Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.