Organization Active NPI

Gaurang Patel MD LLC

  • Pediatrics Physician
  • Avenel, NJ
National Provider Identifier
1881965184
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
250MA7434900 Issued in NJ
Legal business name
GAURANG PATEL MD LLC
Practice address
1500 Saint Georges Ave
Suite G
Avenel, NJ 07001
Phone
(732) 382-8111
Fax
(732) 381-0292
NPI assigned
Jan 18, 2012
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Gaurang Ramanbhai Patel, M.D.NPI 1396788980
Title
Owner of Gaurang Patel MD LLC
Phone
(732) 382-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 250MA7434900 NJ Primary

Addresses

Primary practice location

1500 Saint Georges Ave
Suite G
Avenel, NJ 07001

Mailing address

1500 Saint Georges Ave
Suite G
Avenel, NJ 07001
Phone (732) 382-8111

Other identifiers 1

IdentifierTypeStateIssuer
0080071MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1500 Saint Georges Ave
Ste G
Avenel, NJ 07001
Phone (732) 382-8111

1503 Saint Georges Ave
Ste 205
Colonia, NJ 07067
Phone (732) 276-2494

326 Main St
Metuchen, NJ 08840
Phone (732) 767-0630

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1881965184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE",
            "address_2": "SUITE G",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "07001",
            "telephone_number": "732-382-8111",
            "fax_number": "732-381-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAINT GEORGES AVE",
            "address_2": "SUITE G",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "07001",
            "telephone_number": "732-382-8111",
            "fax_number": "732-381-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURANG PATEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_middle_name": "RAMANBHAI",
        "authorized_official_title_or_position": "OWNER OF GAURANG PATEL MD LLC",
        "authorized_official_telephone_number": "732-382-8111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "250MA7434900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080071",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.