Organization Active NPI

Hemant G Patel MD PA

  • Specialist
  • Newark, NJ
National Provider Identifier
1841245081
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA043021 Issued in NJ
Legal business name
HEMANT G PATEL MD PA
Practice address
646 Sanford Ave
Newark, NJ 07106-3036
Phone
(973) 373-7700
NPI assigned
May 24, 2006
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Dr. Hemantkumar G Patel, MDNPI 1932178357
Title
Owner
Phone
(973) 373-7700

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
Specialist 174400000X MA043021 NJ Primary

Addresses

Primary practice location

646 Sanford Ave
Newark, NJ 07106-3036

Mailing address

PO Box 290
Vauxhall, NJ 07088-0290
Phone (201) 512-9494

Other identifiers 1

IdentifierTypeStateIssuer
3830501MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721000929 NJ Part B Supplier - Clinic/Group Practice 0941280960 Receives reassigned benefits from 3 practitioners
Practice locations: Newark, NJ; West Orange, NJ; Maplewood, NJ; Irvington, 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
31D0946915Hemant Patel MD646 Sanford Avenue, Newark, NJ 07106Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

599 Springfield Ave
Berkeley Heights, NJ 07922
Phone (908) 464-6575

2083 Millburn Ave
Maplewood, NJ 07040
Phone (973) 313-0677

59 Main St
Ste 110
West Orange, NJ 07052
Phone (973) 669-0098

91 Main St
West Orange, NJ 07052
Phone (973) 313-3177

Practitioners & affiliated clinicians

Practitioners 8

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1841245081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070880290",
            "telephone_number": "201-512-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 SANFORD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063036",
            "telephone_number": "973-373-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMANT G PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMANTKUMAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-373-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA043021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3830501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.