Individual provider Active NPI

Payal Patel, PA-C

  • Physician Assistant
  • Linden, NJ
National Provider Identifier
1891398442
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
328 W Saint Georges Ave
Linden, NJ 07036-5638
Phone
(908) 925-2273
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

328 W Saint Georges Ave
Linden, NJ 07036-5638

Mailing address

328 W Saint Georges Ave
Linden, NJ 07036-5638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519000065 NJ Practitioner - Physician Assistant 7810396140 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Medical of Watchung LLCGroup PAC ID 8628312501, 22 clinicians
Performance Medical Group of Hillsborough LLCGroup PAC ID 5597298596, 10 clinicians

Practice addresses (Care Compare)

1011 US Hwy 22
Suite 203
Bridgewater, NJ 08807-2979

105 Raider Blvd
Suite 201
Hillsborough, NJ 08844-1528
Phone (908) 756-2424

3150 US Hwy 22
Branchburg, NJ 08876-3595
Phone (908) 746-2424

459 Watchung Ave
Watchung, NJ 07069-4945
Phone (908) 756-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Medical Group of Branchburg LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

Organizations & group practices 4

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1891398442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365638",
            "telephone_number": "908-925-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.