Individual provider Active NPI

Amisha Patel, M.D.

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1841433075
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
280134 Issued in NY
Practice address
177 Fort Washington Ave
New York, NY 10032-3733
Phone
(212) 342-5155
NPI assigned
Apr 17, 2009
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 280134 NY Primary
Cardiovascular Disease Physician 207RC0000X 280134 NY

Addresses

Primary practice location

177 Fort Washington Ave
New York, NY 10032-3733

Mailing address

630 W 168TH St
Box 4
New York, NY 10032-3725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160726000900 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional CardiologyPractitioner - Internal Medicine 3971896143 Reassigns benefits to 6 organizations
I20250819005303 NJ Practitioner - Interventional Cardiology 3971896143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians
Sorin Medical PCGroup PAC ID 5193966059, 17 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

177 N Dean St
Suite 203
Englewood, NJ 07631-2523
Phone (201) 503-0833

8718 Bay Pkwy
FL 1 2
Brooklyn, NY 11214-5272
Phone (718) 226-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Medical PC CurrentSince Jan 23, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 16, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince May 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Current Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Dec 20, 2016 Accepting new patients
Garden State Healthcare Associates, LLC Cardiovascular Disease CurrentSince Jun 25, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Middletown Medical PC Internal Medicine CurrentSince Jan 23, 2024 Accepting new patients
Sorin Medical PC Cardiovascular Disease CurrentSince Apr 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Dec 20, 2016 Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

177 N Dean St
Ste 203
Englewood, NJ 07631
Phone (201) 503-0833

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

4238 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-9532

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

8718 Bay Pkwy
Fl 12
Brooklyn, NY 11214

8718 Bay Pkwy
Ste 1
Brooklyn, NY 11214

11241 Queens Blvd
Ste Lla
Forest Hills, NY 11375
Phone (718) 251-8050

111 Maltese Dr
Middletown, NY 10940

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1150 Saint Nicholas Ave
New York, NY 10032
Phone (212) 304-5494

131 W 35th St
Fl 7
New York, NY 10001
Phone (212) 475-8252

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090

177 Fort Washington Ave
Fl 2
New York, NY 10032
Phone (212) 305-4275

44 Sherman Ave
New York, NY 10040
Phone (212) 781-1057

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: amisha.patel.1@8181.direct.athenahealth.com
  • Direct secure messaging: apatel764432@nyumc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1841433075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "BOX 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "212-342-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMISHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "280134",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "280134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.