Active NPI
Shivani Bharat Patel, D.O.
- Emergency Medicine Physician
- Montvale, NJ
National Provider Identifier
1942520564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 048778
- Practice address
- 3 Bradley LN
Montvale, NJ 07645-1154 - Phone
- (734) 717-9780
- NPI assigned
- Jun 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 048778 | CT | Primary |
Addresses
Primary practice location
3 Bradley LN
Montvale, NJ 07645-1154
Mailing address
3 Bradley LN
Montvale, NJ 07645-1154
Phone (734) 717-9780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048778 | CT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1942520564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BRADLEY LN",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451154",
"telephone_number": "734-717-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BRADLEY LN",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451154",
"telephone_number": "734-717-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHIVANI",
"middle_name": "BHARAT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-04",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "048778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.