Active NPI
Mukesh R Patel, RPH
- Pharmacist
- Passaic, NJ
National Provider Identifier
1891944062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02664400
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02664400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSM RX LLC | Current | 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.