Individual provider Active NPI

Chandrakant Patel, M.D.

  • Anesthesiology Physician
  • Harrington Park, NJ
National Provider Identifier
1932311073
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA03308400 Issued in NJ
Practice address
55 Flint Ter
Harrington Park, NJ 07640-1067
Phone
(201) 784-1887
Fax
(201) 784-1887
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA03308400 NJ Primary

Addresses

Primary practice location

55 Flint Ter
Harrington Park, NJ 07640-1067

Mailing address

55 Flint Ter
Harrington Park, NJ 07640-1067
Phone (201) 784-1887

Other identifiers 1

IdentifierTypeStateIssuer
0858706MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209000943 NJ Practitioner - AnesthesiologyPractitioner - General Practice 9133284979 Reassigns benefits to 2 organizations
Practice locations: Harrignton Park, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Care LLC Anesthesiology CurrentSince Oct 18, 2024 Accepting new patients
Mid-State Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Bergen Pain Management PC Anesthesiology CurrentSince Mar 16, 2024 Accepting new patients
Meadowlands Anesthesia Associates Past Accepting new patients
Professional Pain Management P.C. Past Accepting new patients
Michele Lewis M.D. P.a. Anesthesiology Past Accepting new patients

Locations

50 Mount Prospect Ave
Ste 203
Clifton, NJ 07013
Phone (862) 238-8250

37 W Century Rd
Ste 101
Paramus, NJ 07652
Phone (201) 634-9000

37 W Century Rd
Ste 103
Paramus, NJ 07652
Phone (201) 523-7800

Organizations & group practices 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1932311073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FLINT TER",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401067",
            "telephone_number": "201-784-1887",
            "fax_number": "201-784-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FLINT TER",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401067",
            "telephone_number": "201-784-1887",
            "fax_number": "201-784-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDRAKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA03308400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrington Park, NJ

Sources for this page

Verify at the official NPI Registry.