Vrajesh M Patel, D.O,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

250164-1 Issued in NY

Practice address

500 Commack Rd Unit 204
Commack, NY 11725-5022

Phone

(631) 855-1200

NPI assigned

May 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1932317112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 204",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-855-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 204",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-855-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Motor Pkwy",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Islandia",
            "state": "NY",
            "postal_code": "117495208",
            "country_code": "US",
            "telephone_number": "917-626-2058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VRAJESH",
        "middle_name": "M",
        "credential": "D.O,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS014824",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "A-1494-09",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "1256",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250164-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vrajesh.patel@direct.stonybrookmedicine.edu",
            "affiliation": "N",
            "address_1": "500 Commack Rd Unit 204",
            "city": "Commack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117255022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Agnieszka Katarzyna Pas
• Brianna Passaro
• Dipti Ramesh Patel, DC
• Jignesh K Patel, M.D.
• Parth Patel, MD
• Patricia Kelly Medical PC
• Patricia Kelly Medical, P.C.
• Karen Patterson
• Brianna Paulino
• Neha S Pawar, M.D.

• Internal Medicine Physician in Commack, NY
• Providers in Commack, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.