Amy R Patel, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02679100 Issued in NJ

Practice address

191 Rte 206 Ste 11
Flanders, NJ 07836-9002

Phone

(973) 927-8800

NPI assigned

Aug 3, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821542176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KROLL TER",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943839",
            "telephone_number": "201-424-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 RTE 206 STE 11",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369002",
            "telephone_number": "973-927-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 US Highway 46",
            "address_purpose": "LOCATION",
            "city": "Ridgefield Park",
            "state": "NJ",
            "postal_code": "076601948",
            "country_code": "US",
            "telephone_number": "201-440-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Pangborn Pl",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076014506",
            "country_code": "US",
            "telephone_number": "201-488-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02679100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Howard Nusbaum, DDS
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• Ophelia Medical Group NJ PC
• Optimal Family Chiropractic, LLC
• Carla Ann Paredes, CRNP
• Kirankant A. Patel, RPH
• Rebecca A Payonk
• Julian Perelman, DPT
• Taylor Perrault
• Karen Ruth Peters, D.O.

• Pediatric Dentistry in Flanders, NJ
• Providers in Flanders, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.