Individual provider Active NPI

Vishal Praful Patel, D.D.S.

  • General Practice Dentistry
  • Wayne, NJ
National Provider Identifier
1841663309
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02635200 Issued in NJ
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

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22DI02635200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.