Active NPI
Manish Patel MD PC
- Internal Medicine Physician
- Elizabeth, NJ
National Provider Identifier
1801055447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA074156
- Legal business name
- MANISH PATEL MD PC
- Practice address
- 520 Westfield Ave
Suite 306
Elizabeth, NJ 07208-1658 - Phone
- (908) 994-1044
- NPI assigned
- Jun 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manish S Patel, MD
- Title
- Owner
- Phone
- (908) 994-1044
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA074156 | NJ | Primary |
Addresses
Primary practice location
520 Westfield Ave
Suite 306
Elizabeth, NJ 07208-1658
Mailing address
306 Maple Hill Dr
Woodbridge, NJ 07095-4104
Phone (908) 994-1044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9125809 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
520 Westfield Ave
Ste 306
Elizabeth, NJ 07208
Phone (732) 910-1134
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Elizabeth, NJ
- NPI 1053418459
-
- Internal Medicine Physician
- Edison, NJ
- NPI 1578725255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1801055447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MAPLE HILL DR",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070954104",
"telephone_number": "908-994-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 WESTFIELD AVE",
"address_2": "SUITE 306",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081658",
"telephone_number": "908-994-1044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANISH PATEL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-09",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MANISH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-994-1044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA074156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9125809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.