Preakness Medical Care, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08128400 Issued in NJ

Legal business name

PREAKNESS MEDICAL CARE, LLC

Practice address

1466 Ratzer Rd
Wayne, NJ 07470-2430

Phone

(973) 432-0104

NPI assigned

May 17, 2009

Organization subpart

No

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

Authorized official

Name

Rajesh M Patel, M.D

Title

Physician

Phone

(973) 432-0104

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242518400000",
    "number": "1962637280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 RATZER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702430",
            "telephone_number": "973-432-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 RATZER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702430",
            "telephone_number": "973-432-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREAKNESS MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-05-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-432-0104",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08128400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Popcakova, DDS
• Tallibah Angela Powell, LCSW
• Susan Hirsh Prager, PHD
• Ananth N Prakash, MBBS
• Preakness Healthcare Center
• Preakness Womens Health LLC
• Precision Spine Solution, LLC
• Precision Therapy LLC
• Prem Sharma M.D.P.a.
• Premier Bariatric New Jersey PC

• Psychiatry Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.