Active NPI
Kaushalkuamr Vipinbhai Patel
- Pharmacist
- Dunellen, NJ
National Provider Identifier
1790186476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03652000
- Practice address
- 2 S Washington Ave
Dunellen, NJ 08812-1252 - Phone
- (732) 968-1481
- NPI assigned
- Sep 12, 2014
- Last updated
- Sep 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03652000 | NJ | Primary |
Addresses
Primary practice location
2 S Washington Ave
Dunellen, NJ 08812-1252
Mailing address
2 S Washington Ave
Dunellen, NJ 08812-1252
Phone (732) 968-1481
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03652000 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1790186476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S WASHINGTON AVE",
"city": "DUNELLEN",
"state": "NJ",
"postal_code": "088121252",
"telephone_number": "732-968-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S WASHINGTON AVE",
"city": "DUNELLEN",
"state": "NJ",
"postal_code": "088121252",
"telephone_number": "732-968-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KAUSHALKUAMR",
"middle_name": "VIPINBHAI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-12",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03652000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunellen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.