Active NPI
Rattan Mahendrakumar Patel, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10200000
- Practice address
- 9602 4TH Ave Apt 4L
Brooklyn, NY 11209-7820 - Phone
- (718) 680-0657
- NPI assigned
- Sep 26, 2007
- Last updated
- Aug 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 265750 | NY | |
| Internal Medicine Physician | 207R00000X | 25MA10200000 | NJ | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA10200000 | NJ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 265750 | NY | |
| Infectious Disease Physician | 207RI0200X | 265750 | NY | |
| Infectious Disease Physician | 207RI0200X | 25MA10200000 | NJ |
Addresses
Primary practice location
9602 4TH Ave Apt 4L
Brooklyn, NY 11209-7820
Mailing address
430 67TH St
Brooklyn, NY 11220-4903
Phone (718) 213-1416
Other practice location 1
7101 Narrows Ave
Basment
Brooklyn, NY 11209-1805
Phone (718) 213-1416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03526285 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Ralph PL
Suite 105
Staten Island, NY 10304-4405
Phone (718) 213-1416
142 Palisade Ave
Suite 216
Jersey City, NJ 07306-1108
Phone (718) 680-0657
176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8200
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Multi-Specialty | Current | Accepting new patients |
| North Shore-Lij Medical PC | Multi-Specialty | Current | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Multi-Specialty | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Multi-Specialty | Current | Accepting new patients |
| City Medical Office PC. | Multi-Specialty | Current | Accepting new patients |
| North Shore - Lij Medical PC | Multi-Specialty | Current | Accepting new patients |
| Hudson Hospital Opco LLC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Multi-Specialty | Past | Accepting new patients |
| Empire State Radiology P C | Multi-Specialty | Past | Accepting new patients |
Locations
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
142 Palisade Ave
Ste 216
Jersey City, NJ 07306
Phone (201) 714-4900
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
11 Ralph Pl
Ste 105
Staten Island, NY 10304
Phone (718) 213-1416
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rattan.patel@direct.christhospital.md
- rpatel321412@northwell.direct-ci.com
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1780036053
Multi-Specialty, NJ
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
Multi-Specialty
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
Multi-Specialty
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
Multi-Specialty
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Multi-Specialty
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1154764819
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
Multi-Specialty
-
dba Christ Hospital
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Multi-Specialty
-
dba Coney Island Hospital
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coney Island Hospital
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
-
dba Christ Hospital
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1871859306
-
dba Hoboken University Hospital
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1922295799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 67TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204903",
"telephone_number": "718-213-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 4TH AVE APT 4L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097820",
"telephone_number": "718-680-0657"
}
],
"practiceLocations": [
{
"address_1": "7101 Narrows Ave",
"address_2": "Basment",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112091805",
"country_code": "US",
"telephone_number": "718-213-1416",
"fax_number": "888-501-6619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "RATTAN",
"middle_name": "MAHENDRAKUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "265750",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10200000",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA10200000",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "265750",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "265750",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "25MA10200000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03526285",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.