Active NPI
Kunjesh A Patel, PHARMD
- Pharmacist
- Kearny, NJ
National Provider Identifier
1801125885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053869
- Practice address
- 150 Harrison Ave
Kearny, NJ 07032-5950 - Phone
- (201) 955-0162
- Fax
- (201) 955-0345
- NPI assigned
- Dec 21, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053869 | NY | Primary |
| Pharmacist | 183500000X | PCT.0011480 | CT | |
| Pharmacist | 183500000X | 28RI03343400 | NJ | |
| Pharmacist | 183500000X | RP449307 | PA |
Addresses
Primary practice location
150 Harrison Ave
Kearny, NJ 07032-5950
Mailing address
2508 Plaza Dr
Woodbridge, NJ 07095-1134
Phone (201) 240-3456
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0011480 | CT | MD | Pharmacist |
| 28RI03343400 | NJ | MD | Pharmacist |
| 053869 | NY | MD | Pharmacist |
| RP449307 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425772800000",
"number": "1801125885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 PLAZA DR",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951134",
"telephone_number": "201-240-3456",
"fax_number": "201-955-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 HARRISON AVE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070325950",
"telephone_number": "201-955-0162",
"fax_number": "201-955-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUNJESH",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-21",
"last_updated": "2015-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053869",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0011480",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03343400",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449307",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearny, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.