NPIMap

Individual provider Active NPI

Jayeshkumar S Patel, M.D.

  • Nephrology Physician
  • Jersey City, NJ
National Provider Identifier
1962509265
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA06719700 Issued in NJ
Practice address
550 Summit Ave
Basement
Jersey City, NJ 07306-2707
Phone
(201) 209-1802
Fax
(201) 604-7764
NPI assigned
Sep 20, 2006
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA06719700 NJ Primary

Addresses

Primary practice location

550 Summit Ave
Basement
Jersey City, NJ 07306-2707

Mailing address

550 Summit Ave
Basement
Jersey City, NJ 07306-2707
Phone (201) 209-1802

Other identifiers 1

IdentifierTypeStateIssuer
8551804MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000107 NJ Practitioner - Internal MedicinePractitioner - Nephrology 3072566710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yogi Medical Care IncGroup PAC ID 7315282860, 3 clinicians

Practice addresses (Care Compare)

550 Summit Ave
Suite B1
Jersey City, NJ 07306-2700
Phone (201) 209-1802

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Sep 1, 2025 Accepting new patients
Hemant Shah, M.D., P.C. CurrentSince Oct 1, 2017 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Yogi Medical Care Inc Nephrology CurrentSince May 19, 2002 Accepting new patients
Humc Opco LLC Past Accepting new patients
Jersey City Medical Center Past Accepting new patients
Optima Care Jersey City, LLC PastSince Dec 30, 2021 Accepting new patients
Metropolitan Family Health Network, Inc. Past Accepting new patients
Jersey City Medical Center Past Accepting new patients
Margaret Anna Cusack Care Center,Inc Past Accepting new patients
Ijkg Opco LLC Past Accepting new patients
Medical Network Services PC Past Accepting new patients
Hudson Hospital Opco LLC Past Accepting new patients

Locations

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

3665 John F Kennedy Blvd
Jersey City, NJ 07307
Phone (201) 963-1155

550 Summit Ave
Bsmt
Jersey City, NJ 07306
Phone (201) 209-1802

550 Summit Ave
Ste B1
Jersey City, NJ 07306
Phone (201) 209-1802

175 High St
Newton, NJ 07860
Phone (973) 383-2121

60 Baldwin Rd
Ste 102
Parsippany, NJ 07054
Phone (973) 500-6860

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD
  • Direct secure messaging: jayeshkumar.patel@direct.bayonnemedicalcenter.md
  • Direct secure messaging: jayeshkumarshantilal.patel@yogimed.ehi.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Optima Care HarborviewJersey City, NJ, CCN 315310 Skilled nursing facility Adp of the SNF Dec 30, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1962509265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE",
            "address_2": "BASEMENT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062707",
            "telephone_number": "201-209-1802",
            "fax_number": "201-604-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUMMIT AVE",
            "address_2": "BASEMENT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062707",
            "telephone_number": "201-209-1802",
            "fax_number": "201-604-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYESHKUMAR",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06719700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8551804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.