Individual provider Active NPI

Radhika Patel, PA-C

  • Internal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1821495037
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MP00353700 Issued in NJ
Practice address
900 Centennial Blvd
201
Voorhees, NJ 08043-4637
Phone
(856) 435-8842
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MP00353700 NJ Primary

Addresses

Primary practice location

900 Centennial Blvd
201
Voorhees, NJ 08043-4637

Mailing address

1 Federal St
Ste Sw200
Camden, NJ 08103-1155
Phone (856) 435-8842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160314001893 NJ Practitioner - Physician Assistant 8628374865 Reassigns benefits to 1 organization
I20190904002973 GA Practitioner - Physician Assistant 8628374865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00353700NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Jan 30, 2016 Accepting new patients
CMC Department of Medicine Internal Medicine CurrentSince Jan 30, 2016 Accepting new patients

Locations

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

2 Cooper Plz
Ste Sj
Camden, NJ 08103

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 318
Camden, NJ 08103
Phone (856) 342-2683

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1210 Brace Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 342-2034

4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453

400 Medical Center Dr
Ste B
Sewell, NJ 08080
Phone (570) 947-8229

1 Plaza Dr
Ste 103
Sewell, NJ 08080
Phone (856) 270-4080

900 Centennial Blvd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-6700

900 Centennial Blvd
Ste 203
Voorhees, NJ 08043
Phone (856) 325-6674

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

66 East Ave
Woodstown, NJ 08098
Phone (856) 935-6700

66 East Ave
#A
Woodstown, NJ 08098
Phone (856) 624-4252

Organizations & group practices 4

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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1821495037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST",
            "address_2": "STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-435-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD",
            "address_2": "201",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434637",
            "telephone_number": "856-435-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RADHIKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MP00353700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.