Active NPI
Vishal Praful Patel, D.D.S.
- General Practice Dentistry
- Wayne, NJ
National Provider Identifier
1841663309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02635200
- Practice address
- 600 Valley Rd
Wayne, NJ 07470-3535 - Phone
- (973) 633-5440
- Fax
- (973) 633-1903
- NPI assigned
- Nov 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 22DI02635200 | NJ | Primary |
Addresses
Primary practice location
600 Valley Rd
Wayne, NJ 07470-3535
Mailing address
60 Ridge Dr
Montville, NJ 07045-9168
Phone (973) 830-7970
Other practice location 1
540 Lafayette Ave
Hawthorne, NJ 07506-2448
Phone (973) 304-0700
Other practice location 2
506 Lenox Ave
K Building, Mezzanine Floor
New York, NY 10037-1802
Phone (212) 939-2883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02635200 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fine Dental Care | General Practice | Past | Accepting new patients |
| Lafayette Family Dentistry MGMT Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Wayne, NJ
- NPI 1932529161
-
- Dentist
- Hawthorne, NJ
- NPI 1639292410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1841663309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 RIDGE DR",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459168",
"telephone_number": "973-830-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 VALLEY RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703535",
"telephone_number": "973-633-5440",
"fax_number": "973-633-1903"
}
],
"practiceLocations": [
{
"address_1": "540 Lafayette Ave",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "NJ",
"postal_code": "075062448",
"country_code": "US",
"telephone_number": "973-304-0700",
"fax_number": "973-304-2013",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 Lenox Ave",
"address_2": "K Building, Mezzanine Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100371802",
"country_code": "US",
"telephone_number": "212-939-2883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "VISHAL",
"middle_name": "PRAFUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-05",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02635200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.