Individual provider Active NPI

Mukesh R Patel, RPH

  • Pharmacist
  • Passaic, NJ
National Provider Identifier
1891944062
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02664400 Issued in NJ
Practice address
93 Market St
Passaic, NJ 07055-7502
Phone
(908) 553-6222
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02664400 NJ Primary

Addresses

Primary practice location

93 Market St
Passaic, NJ 07055-7502

Mailing address

54 Todd Cir
North Brunswick, NJ 08902-5014
Phone (908) 553-6222

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02664400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
PSM RX LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

75 1st St
Newark, NJ 07107
Phone (973) 392-8006

93 Market St
Passaic, NJ 07055
Phone (973) 955-4950

Organizations & group practices 1

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1891944062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TODD CIR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025014",
            "telephone_number": "908-553-6222",
            "fax_number": "908-994-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MARKET ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557502",
            "telephone_number": "908-553-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MUKESH",
        "middle_name": "R",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02664400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.