Ami Patel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DI02474500 Issued in NJ

Practice address

3600 Park Ave, Suiten
South Plainfield, NJ 07080

Phone

(908) 755-9600

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Smiles Dental LLC

  • General Practice Dentistry
  • South Plainfield, NJ
  • NPI 1215415815
  NPD (past) Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1962798728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PARK AVE STE N",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805129",
            "telephone_number": "908-755-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 PARK AVE, SUITEN",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "07080",
            "telephone_number": "908-755-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Main St",
            "address_purpose": "LOCATION",
            "city": "Metuchen",
            "state": "NJ",
            "postal_code": "088402428",
            "country_code": "US",
            "telephone_number": "732-226-0568",
            "fax_number": "732-476-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02474500",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02474500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Avenue Dental PC
• Park Avenue Pain Management
• Park Internal Medicine LLC
• Partners in Change
• Partners Pharmacy LLC
• Avani Patel
• Devang G Patel, MD
• Dhara Patel
• Heet Patel, PHARMD
• Hunaiz Amin Patel, M.D.

• Dentist in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.