Individual provider Active NPI

Kripalben Amrutlal Patel, PA-C

  • Physician Assistant
  • North Bergen, NJ
National Provider Identifier
1932771318
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7403 Dane CT Apt a
North Bergen, NJ 07047-4085
Phone
(201) 562-7053
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7403 Dane CT Apt a
North Bergen, NJ 07047-4085

Mailing address

90 Bergen St Ste 8100
Newark, NJ 07103-2425
Phone (201) 562-7053

Other names 1

  • Kripal Amrutlal Patel Professional 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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505002261 NJ Practitioner - Physician Assistant 5092192393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Premier Medical PCGroup PAC ID 4688095367, 13 clinicians

Practice addresses (Care Compare)

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (201) 325-6744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc CurrentSince Nov 10, 2021 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Nov 10, 2021 Accepting new patients
Hudson Premier Medical PC CurrentSince Dec 17, 2025 Accepting new patients
Premier Medical of NJ PastSince Sep 17, 2023 Accepting new patients

Locations

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

90 Bergen St
Ste 8100
Newark, NJ 07103
Phone (973) 972-0037

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

Organizations & group practices 4

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1932771318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST STE 8100",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "201-562-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 DANE CT APT A",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474085",
            "telephone_number": "201-562-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRIPALBEN",
        "middle_name": "AMRUTLAL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIPAL",
            "last_name": "PATEL",
            "middle_name": "AMRUTLAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.