Individual provider Active NPI

Sunita Patel, DNP, ANP-BC

  • Nurse Practitioner
  • Passaic, NJ
National Provider Identifier
1992950349
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00175800 Issued in NJ
Practice address
350 Boulevard
Passaic, NJ 07055
Phone
(973) 365-4300
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN706025 PA
Family Nurse Practitioner 363LF0000X 26NJ00175800 NJ
Nurse Practitioner 363L00000X 26NJ00175800 NJ Primary

Addresses

Primary practice location

350 Boulevard
Passaic, NJ 07055

Mailing address

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Other names 1

  • Sunita A Patel Former name

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090316000304 NJ Practitioner - Nurse Practitioner 6800953043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00175800NJMDNurse Practitioner
RN706025PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of St Marys LLC CurrentSince Dec 1, 2017 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 15, 2017 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 15, 2017 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Dec 18, 2010 Accepting new patients
Riverside Medical Group Nurse Practitioner Past Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

506 Broadway
Bayonne, NJ 07002
Phone (201) 471-7012

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

201 State Rt 17
Fl 1202
Rutherford, NJ 07070
Phone (201) 975-2323

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: spatel76844@direct.optum.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1992950349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-365-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-365-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUNITA",
        "credential": "DNP, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN706025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00175800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00175800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNITA",
            "last_name": "PATEL",
            "middle_name": "A",
            "credential": "DNP, ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.