Active NPI
Vinod P Patel
- Pharmacist
- New York, NY
National Provider Identifier
1962686147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048123
- Practice address
- 210 Amsterderm Ave
New York, NY 10023-2245 - Phone
- (212) 787-2903
- NPI assigned
- Dec 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048123 | NY | Primary |
Addresses
Primary practice location
210 Amsterderm Ave
New York, NY 10023-2245
Mailing address
65 Carteret Ave
FL-2
Carteret, NJ 07008-2541
Phone (732) 423-1048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01562550 | Medicaid | NY |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1962686147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 CARTERET AVE",
"address_2": "FL-2",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070082541",
"telephone_number": "732-423-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 AMSTERDERM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232245",
"telephone_number": "212-787-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VINOD",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01562550",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.