Organization Active NPI

Patel Eye Associates LLC

  • Ophthalmology Physician
  • Edison, NJ
National Provider Identifier
1831305267
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA0653900 Issued in NJ
Legal business name
PATEL EYE ASSOCIATES LLC
Practice address
228 Plainfield Ave
Edison, NJ 08817-3738
Phone
(732) 985-5009
Fax
(732) 985-5155
NPI assigned
May 15, 2007
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Hitesh K Patel, M.D.NPI 1215959622
Title
President
Phone
(732) 985-5009

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25MA0653900 NJ Primary

Addresses

Primary practice location

228 Plainfield Ave
Edison, NJ 08817-3738

Mailing address

228 Plainfield Ave
Edison, NJ 08817-3738
Phone (732) 985-5009

Other identifiers 1

IdentifierTypeStateIssuer
0102962MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000283 NJ Part B Supplier - Clinic/Group Practice 8527150218 Receives reassigned benefits from 3 practitioners
Practice locations: Edison, NJ; Kendall Park, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2328607Patel Eye Associates228 Plainfield Ave, Edison, NJ 08817Certificate of waiverAug 12, 2027

National Provider Directory

National Provider Directory

Locations

3084 State Route 27
Ste 4
Kendall Park, NJ 08824
Phone (732) 985-5009

136 Main St
Princeton, NJ 08540
Phone (609) 430-0752

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1831305267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173738",
            "telephone_number": "732-985-5009",
            "fax_number": "732-985-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173738",
            "telephone_number": "732-985-5009",
            "fax_number": "732-985-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HITESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-985-5009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA0653900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102962",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.