Individual provider Active NPI

Kinjel D Patel, FNP-C

  • Nurse Practitioner
  • Somerset, NJ
National Provider Identifier
1831860105
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NRJ01206000 Issued in NJ
Practice address
75 Veronica Ave Ste 204
Somerset, NJ 08873-5002
Phone
(732) 828-0002
NPI assigned
Sep 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR16495500 NJ
Nurse Practitioner 363L00000X 26NRJ01206000 NJ Primary

Addresses

Primary practice location

75 Veronica Ave Ste 204
Somerset, NJ 08873-5002

Mailing address

75 Veronica Ave Ste 204
Somerset, NJ 08873-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000169 NJ Practitioner - Nurse Practitioner 4688063597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Jersey Internal Medicine Associates,PAGroup PAC ID 9830171131, 12 clinicians

Practice addresses (Care Compare)

111 Union Valley Rd
Suite 203
Monroe Township, NJ 08831-6000
Phone (609) 655-2255

75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002
Phone (732) 828-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR16495500NJMDRegistered Nurse
26NRJ01206000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Internal Medicine Associates,PA CurrentSince Dec 1, 2021 Accepting new patients

Locations

111 Union Valley Rd
Ste 203
Monroe Township, NJ 08831
Phone (609) 655-2255

75 Veronica Ave
Ste 204
Somerset, NJ 08873
Phone (732) 828-0002

Interoperability endpoints

  • Direct secure messaging: kinjel.patel.1@19815.direct.athenahealth.com

Organizations & group practices 1

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": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1831860105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VERONICA AVE STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735002",
            "telephone_number": "732-828-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJEL",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16495500",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NRJ01206000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.