Active NPI
Shil Patel, D.O.
- Gastroenterology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 86108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
- Southern Ocean Medical Center
- Palisades Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 95 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10442900 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Internal Medicine | Current | 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
- shil.patel@direct.hackensackmeridian.org
- 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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Internal Medicine
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.