Active NPI
Saurabh C Patel, MD
- Internal Medicine Physician
- Newark, NJ
National Provider Identifier
1790795227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA71391
- Practice address
- 99 Madison St
Newark, NJ 07105-2107 - Phone
- (973) 344-2929
- Fax
- (973) 344-1239
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA71391 | NJ | Primary |
Addresses
Primary practice location
99 Madison St
Newark, NJ 07105-2107
Mailing address
99 Madison St
Newark, NJ 07105-2107
Phone (973) 344-2929
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA71391 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Clinic, LLC | Current | Accepting new patients |
Locations
99 Madison St
Newark, NJ 07105
Phone (908) 578-7273
Organizations & group practices 1
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": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520812800000",
"number": "1790795227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 MADISON ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071052107",
"telephone_number": "973-344-2929",
"fax_number": "973-344-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MADISON ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071052107",
"telephone_number": "973-344-2929",
"fax_number": "973-344-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SAURABH",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2018-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA71391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.