Individual provider Active NPI

Kunjesh A Patel, PHARMD

  • Pharmacist
  • Kearny, NJ
National Provider Identifier
1801125885
Registry record updated Mar 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053869 Issued in NY
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

Updated by the provider on Mar 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PCT.0011480CTMDPharmacist
28RI03343400NJMDPharmacist
053869NYMDPharmacist
RP449307PAMDPharmacist

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.

Verify at the official NPI Registry.