Individual provider Active NPI

Hepal Darshan Patel, DDS

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1902517097
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02909900 Issued in NJ
Practice address
1311 Summit Ave
Union City, NJ 07087-6250
Phone
(201) 863-1050
NPI assigned
Dec 8, 2022
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02909900 NJ
General Practice Dentistry 1223G0001X 22DI02909900 NJ Primary

Addresses

Primary practice location

1311 Summit Ave
Union City, NJ 07087-6250

Mailing address

1311 Summit Ave
Union City, NJ 07087-6250

Other names 1

  • Dr. Hepal D Patel Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315001078 NJ Practitioner - Dentist 9638515331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02909900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince Apr 1, 2024 Accepting new patients
Newark Community Health Centers, Inc. Current Accepting new patients
Newark Community Health Centers,Inc. Past Accepting new patients
Ekta Ishan Corp General Practice PastSince Jan 21, 2024 Accepting new patients
Newark Community Health Centers, Inc. Past Accepting new patients

Locations

444 William St
East Orange, NJ 07017
Phone (973) 675-1900

101 Ludlow St
Newark, NJ 07114
Phone (973) 565-0355

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1902517097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876250",
            "telephone_number": "201-863-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HEPAL",
        "middle_name": "DARSHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02909900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02909900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEPAL",
            "last_name": "PATEL",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.