Individual provider Active NPI

Jay Patel, D.O.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Fall River, MA
National Provider Identifier
1962841452
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
1016407 Issued in MA
Practice address
277 Pleasant St BLDG 1
Fall River, MA 02721-3005
Phone
(508) 676-3292
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A18210 CA
Orthopaedic Surgery Physician 207X00000X 25MB10270300 NJ
Orthopaedic Surgery Physician 207X00000X 90781 GA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 1016407 MA Primary

Addresses

Primary practice location

277 Pleasant St BLDG 1
Fall River, MA 02721-3005

Mailing address

1035 Southcrest Dr Ste 100
Stockbridge, GA 30281-6114
Phone (770) 389-9005

Other practice location 1

355 Grand St
Jersey City, NJ 07302
Phone (201) 521-5934

Other practice location 2

355 Grand St
Jersey City, NJ 07302
Phone (201) 521-5934

Other practice location 3

100 Madison Ave Fl Center2
Morristown, NJ 07960-6136
Phone (833) 292-2663

Other practice location 4

100 Ucla Medical Plz Ste 755
Los Angeles, CA 90024-6990
Phone (310) 319-1234

Other practice location 5

3200 Downwood Cir NW Ste 410
Atlanta, GA 30327-1624
Phone (404) 352-0551

Other practice location 6

1225 15th St Ste 2100
Santa Monica, CA 90404-1101
Phone (310) 319-3475

Other practice location 7

1035 Southcrest Dr
Stockbridge, GA 30281-6118
Phone (770) 389-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA, RI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220713002361 GA Practitioner - Orthopedic Surgery 3678822491 Reassigns benefits to 1 organization
I20230921001468 MA Practitioner - Orthopedic Surgery 3678822491 Reassigns benefits to 1 organization
I20260428000961 RI Practitioner - Orthopedic Surgery 3678822491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

1040 Charles St
North Providence, RI 02904-4916
Phone (401) 351-4041

277 Pleasant St
Fall River, MA 02721-3005
Phone (508) 676-3292

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement45
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18210CAMDOrthopaedic Surgery Physician
1016407MAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Nov 1, 2023 Accepting new patients
Prima Care, PC Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Atlanta Knee and Shoulder Clinic PC CurrentSince Apr 6, 2022 Accepting new patients
Lifespan of Massachusetts - Fall River Inc Past Accepting new patients
Practice Associates Medical Group Orthopaedic Surgery Past Accepting new patients

Locations

3200 Downwood Cir NW
Ste 410
Atlanta, GA 30327
Phone (404) 352-4779

1035 Southcrest Dr
Ste 100
Stockbridge, GA 30281
Phone (770) 389-9000

277 Pleasant St
Bldg 1
Fall River, MA 02721
Phone (212) 410-8000

277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

1040 Charles St
North Providence, RI 02904
Phone (508) 676-3929

Interoperability endpoints

  • Direct secure messaging: jay.patel.1@10056.direct.athenahealth.com

Organizations & group practices 5

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 12

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1962841452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816114",
            "telephone_number": "770-389-9005",
            "fax_number": "770-389-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST BLDG 1",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-676-3292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Grand St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "07302",
            "country_code": "US",
            "telephone_number": "201-521-5934",
            "fax_number": "201-915-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Grand St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "07302",
            "country_code": "US",
            "telephone_number": "201-521-5934",
            "fax_number": "201-915-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Madison Ave Fl Center2",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "833-292-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ucla Medical Plz Ste 755",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900246990",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Downwood Cir NW Ste 410",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303271624",
            "country_code": "US",
            "telephone_number": "404-352-0551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 15th St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041101",
            "country_code": "US",
            "telephone_number": "310-319-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Southcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816118",
            "country_code": "US",
            "telephone_number": "770-389-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A18210",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MB10270300",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "90781",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "1016407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.