Active NPI
Divyang P Patel
- Dentist
- Moorestown, NJ
National Provider Identifier
1891477402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03067300
- Practice address
- 401 Young Ave Ste 130
Moorestown, NJ 08057-3131 - Phone
- (832) 209-0160
- NPI assigned
- Aug 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI03067300 | NJ | Primary |
Addresses
Primary practice location
401 Young Ave Ste 130
Moorestown, NJ 08057-3131
Mailing address
225 Evans Mill LN
Cherry Hill, NJ 08034-3554
Phone (832) 209-0160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03067300 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1891477402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 EVANS MILL LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343554",
"telephone_number": "832-209-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 YOUNG AVE STE 130",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573131",
"telephone_number": "832-209-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIVYANG",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-02",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03067300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
- Partners in Home Care, Inc.
- Partners in Home Care, Inc. (The Community Counseling Center of Moorestown VNA)
- Partners in Home Care, Inc. (The Community Counseling Center of Moorestown VNA)
- David E Pasi III, PT DPT
- Amar B Patel, DDS
- Kajal Patel
- Khushbu Patel
- Kyra Patel
- Param Patel, MD
- Reena A. Patel, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.