Shraddha Mrunal Patel, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

647091-1 Issued in NY

Practice address

160 North Main Street
Suite 24 B
New City, NY 10956-3802

Phone

(845) 510-1521

NPI assigned

Oct 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1871878702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NORTH MAIN STREET",
            "address_2": "SUITE 24 B",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563802",
            "telephone_number": "845-510-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NORTH MAIN STREET",
            "address_2": "SUITE 24 B",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563802",
            "telephone_number": "845-510-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHRADDHA",
        "middle_name": "MRUNAL",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "647091-1",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "647091-1",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "647091-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Partridge, LCSW
• Pastel ABA Group LLC
• Shelly Pasternak, M.D.
• Hiral Patel, MD
• Rena Patel
• Pathways to Treatment LLC
• Patriot Medical
• Patriot Medical Nyc PC
• Patriot Medical Wound Health PC
• Martha Patterson, NP

• Registered Nurse in New City, NY
• Providers in New City, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.