Individual provider Active NPI

Shil Patel, D.O.

  • Gastroenterology Physician
  • Hackensack, NJ
National Provider Identifier
1952720807
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
86108 Issued in GA
Practice address
20 Prospect Ave Ste 707
Hackensack, NJ 07601-1963
Phone
(551) 996-3091
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MB10442900 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 86108 GA Primary
Internal Medicine Physician 207R00000X 25MB10442900 NJ
Internal Medicine Physician 207R00000X 86108 GA

Addresses

Primary practice location

20 Prospect Ave Ste 707
Hackensack, NJ 07601-1963

Mailing address

20 Prospect Ave Ste 707
Hackensack, NJ 07601-1963
Phone (551) 996-3091

Other practice location 1

29 E 29th St
Bayonne, NJ 07002-4654
Phone (201) 858-5000

Other practice location 2

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5000

Other practice location 3

1551 Doctors Dr
LaGrange, GA 30240-4139
Phone (706) 880-7311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spatel376510@directwellstar.org

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
I20190621002172 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 3870827090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Prospect Ave
Suite 707
Hackensack, NJ 07601-1963
Phone (551) 996-3091

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10442900NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 19, 2022 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Mar 30, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Jul 19, 2022 Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

20 Prospect Ave
Ste 707
Hackensack, NJ 07601
Phone (201) 488-2220

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

Interoperability endpoints

  • Direct secure messaging: shil.patel@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1952720807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 707",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011963",
            "telephone_number": "551-996-3091",
            "fax_number": "551-996-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 707",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011963",
            "telephone_number": "551-996-3091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E 29th St",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024654",
            "country_code": "US",
            "telephone_number": "201-858-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395672",
            "country_code": "US",
            "telephone_number": "973-322-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404139",
            "country_code": "US",
            "telephone_number": "706-880-7311",
            "fax_number": "706-880-7360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB10442900",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "86108",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10442900",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spatel376510@directwellstar.org",
            "affiliation": "N",
            "address_1": "1551 Doctors Dr",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.