Organization Active NPI

Narendra Patel, MD,LLC

  • Psychiatry Physician
  • Staten Island, NY
National Provider Identifier
1902908429
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
141246 Issued in NY
Legal business name
NARENDRA PATEL, MD,LLC
Practice address
201 Bryson Ave
Staten Island, NY 10314-1922
Phone
(718) 370-7439
Fax
(718) 370-2150
NPI assigned
Sep 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Narendra Patel, MD
Title
Owner
Phone
(718) 370-7439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 141246 NY Primary

Addresses

Primary practice location

201 Bryson Ave
Staten Island, NY 10314-1922

Mailing address

201 Bryson Ave
Staten Island, NY 10314-1922
Phone (718) 370-7439

Other identifiers 7

IdentifierTypeStateIssuer
00720796MedicaidNY
141246OtherNYHIP OF NEW YORK
OS285OtherNYOXFORD
147056OtherNYVALUE OPTION
NPC13233OtherNYELDERPLAN OF NY
33874OtherNYCIGNA
3100164OtherNYGHI

National Provider Directory

National Provider Directory

Locations

2309 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-7439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1902908429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BRYSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141922",
            "telephone_number": "718-370-7439",
            "fax_number": "718-370-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BRYSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141922",
            "telephone_number": "718-370-7439",
            "fax_number": "718-370-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARENDRA PATEL, MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-370-7439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "141246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00720796",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP OF NEW YORK",
            "identifier": "141246",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "OS285",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION",
            "identifier": "147056",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN OF NY",
            "identifier": "NPC13233",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "33874",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3100164",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.