NPIMap

Organization Active NPI

Wellness First Medical Clinic LLC

  • Internal Medicine Physician
  • Raritan, NJ
National Provider Identifier
1811468457
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLNESS FIRST MEDICAL CLINIC LLC
Practice address
31 W Somerset St
Raritan, NJ 08869-2057
Phone
(908) 722-0035
Fax
(908) 722-6763
NPI assigned
Dec 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Dr. Rajendrakumar C Patel, MDNPI 1265792444
Title
Physician
Phone
(908) 722-0035

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

31 W Somerset St
Raritan, NJ 08869-2057

Mailing address

31 W Somerset St
Raritan, NJ 08869-2057
Phone (908) 722-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321000008 NJ Part B Supplier - Clinic/Group Practice 3678813029 Receives reassigned benefits from 10 practitioners
Practice locations: North Brunswick, NJ; Somerville, NJ; Somerset, NJ; Hillsborough, NJ

National Provider Directory

National Provider Directory

Locations

19 Holly St
Ste 11
Cranford, NJ 07016

19 Holly St
Ste 111
Cranford, NJ 07016

101 Omni Dr
Hillsborough, NJ 08844
Phone (732) 354-4162

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1811468457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W SOMERSET ST",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088692057",
            "telephone_number": "908-722-0035",
            "fax_number": "908-722-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W SOMERSET ST",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088692057",
            "telephone_number": "908-722-0035",
            "fax_number": "908-722-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FIRST MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJENDRAKUMAR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-722-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.

Verify at the official NPI Registry.