MEDICARE: CHIRAG D PATEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA0966400	NJ
2	207RI0011X	Interventional Cardiology Physician	25MA0966400	NJ
3	207RC0000X	Cardiovascular Disease Physician	25MA0966400	NJ

General Provider Information

NPI Number	:	1114326162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIRAG D PATEL M.D.

Provider Business Mailing Address
First Line	:	2130 MILLBURN AVE STE A4
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3745
Country	:	US
Telephone Number	:	973-761-6111
Fax Number	:	973-761-4990

Provider Business Practice Location Address
First Line	:	2130 MILLBURN AVE STE A4
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3745
Country	:	US
Telephone Number	:	973-761-6111
Fax Number	:	973-761-4990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2014
Last Update Date	:	02/08/2026

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Directions to “ CHIRAG D PATEL M.D.” Practice Location

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