Active NPI
Dhara Patel
- Physician Assistant
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 485 Chestnut St
Union, NJ 07083-9307 - Phone
- (732) 913-8500
- NPI assigned
- Mar 4, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
485 Chestnut St
Union, NJ 07083-9307
Mailing address
1 Ellmyer Rd
Edison, NJ 08820-2742
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201021002848 | NJ | Practitioner - Physician Assistant | 1557781002 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Peters University Hospital
Practice addresses (Care Compare)
123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 745-8600
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600
Hospital & facility affiliations
- Saint Peter'S University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Morris Avenue Medical Center PC | Past | Accepting new patients |
Locations
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10045835
Organizations & group practices 4
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Elizabeth, NJ
- NPI 1346304664
NJ
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
-
- Cardiovascular Disease Physician
- Union, NJ
- NPI 1134369200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1780219352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ELLMYER RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839307",
"telephone_number": "732-913-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.