Individual provider Active NPI

Krishna Kilachand Patel, OD

  • Optometrist
  • Franklin Park, NJ
National Provider Identifier
1982250627
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00691700 Issued in NJ
Practice address
3391 NJ-27
Franklin Park, NJ 08823
Phone
(732) 940-0900
NPI assigned
Aug 16, 2019
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00691700 NJ Primary

Addresses

Primary practice location

3391 NJ-27
Franklin Park, NJ 08823

Mailing address

3391 NJ-27
Franklin Park, NJ 08823
Phone (732) 940-0900

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200303000537 NJ Practitioner - Optometry 2062849177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00691700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles M Cummins, OD, PA Optometrist CurrentSince May 31, 2023 Accepting new patients
Charles M. Cummins, OD., PA Optometrist CurrentSince May 31, 2023 Accepting new patients

Locations

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

331 Chimney Rock Rd
Bound Brook, NJ 08805
Phone (215) 487-8355

588 Route 70
Ste 9
Brick, NJ 08723
Phone (732) 864-0755

1255 Raritan Rd
Unit 740
Clark, NJ 07066
Phone (732) 388-4035

550 Old Post Rd
Edison, NJ 08817
Phone (732) 287-6600

120 Route 22
Springfield, NJ 07081
Phone (973) 379-5063

873 Saint George Ave
Woodbridge, NJ 07095
Phone (732) 750-3900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1982250627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 NJ-27",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "08823",
            "telephone_number": "732-940-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 NJ-27",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "08823",
            "telephone_number": "732-940-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHNA",
        "middle_name": "KILACHAND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00691700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, NJ

Sources for this page

Verify at the official NPI Registry.