Nishi Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0580101 Issued in NY

Practice address

492 Old Town Rd
Port Jefferson Station, NY 11776-2249

Phone

(631) 928-1018

NPI assigned

Mar 9, 2014

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Concerned Dental Care of Port Jefferson, PLLC

  • General Practice Dentistry
  • Port Jefferson Station, NY
  • NPI 1942562376
  NPD (past)

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

{
    "created_epoch": "1394323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1831515329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WARNER RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435918",
            "telephone_number": "301-204-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 OLD TOWN RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762249",
            "telephone_number": "631-928-1018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Warner Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117435918",
            "country_code": "US",
            "telephone_number": "301-204-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-09",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0580101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Mariah Panariello, OTR/L
• Jacqueline Pandolfi, N.P.
• Grace Elizabeth Papile
• Sophia Parise
• Joey Labso Pascasio, M.D.
• Vipul A Patel, PHARM.D.,BCP,CGP
• Pathmark Stores Inc
• Patrick J. Sabo, D.M.D. & Mark a. Rienecker, D.D.S., P.C.
• Jennifer Michelle Patrick
• Dreux Patton, M.D.

• General Practice Dentistry in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.