Individual provider Active NPI

Mital N Patel, DC

  • Chiropractor
  • South Plainfield, NJ
National Provider Identifier
1851415723
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00655300 Issued in NJ
Practice address
904 Oak Tree Ave
Suite D
South Plainfield, NJ 07080-5126
Phone
(201) 452-8442
NPI assigned
Mar 18, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00655300 NJ Primary

Addresses

Primary practice location

904 Oak Tree Ave
Suite D
South Plainfield, NJ 07080-5126

Mailing address

177 Winding Rd
Iselin, NJ 08830-2136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000577 NJ Practitioner - Chiropractic 4688766033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

904 Oak Tree Ave
Suite E
South Plainfield, NJ 07080-5126

904 Oak Tree Ave E
South Plainfield, NJ 07080-5126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00655300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health & Rehabilitation Center, LLC Chiropractor CurrentSince Sep 2, 2008 Accepting new patients
Hoboken Integrated Health Care LLC Chiropractor CurrentSince Mar 13, 2010 Accepting new patients
Bayshore Rehab Medicine, PC Past Accepting new patients

Locations

904 Oak Tree Ave
Ste D
South Plainfield, NJ 07080
Phone (201) 452-8442

904 Oak Tree Ave
Ste E
South Plainfield, NJ 07080
Phone (908) 668-7791

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1851415723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WINDING RD",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 OAK TREE AVE",
            "address_2": "SUITE D",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805126",
            "telephone_number": "201-452-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITAL",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00655300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.