Individual provider Active NPI

Manish B Patel, DO

  • Physical Medicine & Rehabilitation Physician
  • Jersey City, NJ
National Provider Identifier
1962765461
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS13947 Issued in FL
Practice address
282 St Pauls Avenue
Floor 1
Jersey City, NJ 07306
Phone
(201) 422-2556
Fax
(866) 265-3540
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB09801400 NJ
Interventional Pain Medicine Physician 208VP0014X 25MB09801400 NJ
Physical Medicine & Rehabilitation Physician 208100000X OS13947 FL Primary

Addresses

Primary practice location

282 St Pauls Avenue
Floor 1
Jersey City, NJ 07306

Mailing address

282 St Pauls Avenue
Floor 1
Jersey City, NJ 07306
Phone (201) 422-2556

Other practice location 1

37 W Century Rd Ste 111
Paramus, NJ 07652-1466
Phone (201) 422-2556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170217001744 FL Practitioner - Internal Medicine 8224359963 Reassigns benefits to 1 organization
I20171228000329 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8224359963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

282 Saint Pauls Ave
Apt 1
Jersey City, NJ 07306-5085

282 Saint Pauls Ave
Apt 1
Jersey City, NJ 07306-5086
Phone (201) 422-2556

Hospital & facility affiliations

  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS13947FLMDPhysical Medicine & Rehabilitation Physician
25MB09801400NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Dec 30, 2016 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 30, 2016 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2018 Accepting new patients
Sixth Borough Medical LLC Physical Medicine & Rehabilitation CurrentSince Sep 9, 2018 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

37 W Century Rd
Ste 111
Paramus, NJ 07652
Phone (201) 262-2244

Organizations & group practices 4

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 1

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1962765461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 ST PAULS AVENUE",
            "address_2": "FLOOR 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-422-2556",
            "fax_number": "866-265-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 ST PAULS AVENUE",
            "address_2": "FLOOR 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-422-2556",
            "fax_number": "866-265-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 W Century Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521466",
            "country_code": "US",
            "telephone_number": "201-422-2556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISH",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB09801400",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MB09801400",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS13947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.