Individual provider Active NPI

Naishami Patel, D.O.

  • Family Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1780998807
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08877300 Issued in NJ
Practice address
32 Journal SQ
Jersey City, NJ 07306-4002
Phone
(201) 354-1955
NPI assigned
Jul 30, 2010
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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 25MB08877300 NJ Primary

Addresses

Primary practice location

32 Journal SQ
Jersey City, NJ 07306-4002

Mailing address

574 Winchester Ave
Union, NJ 07083-7915

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000461 NJ Practitioner - Family Practice 5294904975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08877300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linden Family Medical LLC Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Complete Medical Associates, LLC Family Medicine Past Accepting new patients
Uma Viswanathan, MD PA Past Accepting new patients

Locations

850 N Wood Ave
Linden, NJ 07036
Phone (908) 486-4400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1780998807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 WINCHESTER AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 JOURNAL SQ",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064002",
            "telephone_number": "201-354-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NAISHAMI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08877300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.