Active NPI
Anjali D Patel, D.O.
- Interventional Pain Medicine Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MB08416900
- Practice address
- 1060 Clifton Ave
Clifton, NJ 07013-3638 - Phone
- (973) 779-7354
- Fax
- (973) 779-7385
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OT010795 | PA | |
| Anesthesiology Physician | 207L00000X | 25MB08416900 | NJ | |
| Interventional Pain Medicine Physician | 208VP0014X | 25MB08416900 | NJ | Primary |
Addresses
Primary practice location
1060 Clifton Ave
Clifton, NJ 07013-3638
Mailing address
1060 Clifton Ave
Clifton, NJ 07013-3638
Phone (973) 779-7354
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MB08416900 | Other | NJ | STATE LICENSE |
| 0178233 | Medicaid | NJ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Mount Prospect Ave
Suite 209
Clifton, NJ 07013-1900
Phone (862) 238-8250
Hospital & facility affiliations
- Bergen New Bridge Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT010795 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen County Improvement Authority | Current | Accepting new patients | |
| Bergen County Improvement Authority | Interventional Pain Medicine | Current | Accepting new patients |
| Interventional Pain Consultants of New Jersey, PA | Interventional Pain Medicine | Past | Accepting new patients |
Locations
230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Clifton, NJ
- NPI 1942659123
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1891836441
-
- Anesthesiology Physician
- Clifton, NJ
- NPI 1346609138
-
- Psychiatric Hospital Unit
- Paramus, NJ
- NPI 1952456295
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Belleville, NJ
- NPI 1578743431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1689682999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1891818530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133638",
"telephone_number": "973-779-7354",
"fax_number": "973-779-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133638",
"telephone_number": "973-779-7354",
"fax_number": "973-779-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ANJALI",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OT010795",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MB08416900",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NJ",
"license": "25MB08416900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "25MB08416900",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0178233",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.