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NPI Code Detail

MEDICARE: NIMA PATEL

MEDICARE: NIMA PATEL
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ15579900NJ

General Provider Information

NPI Number : 1518899707
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIMA PATEL
Provider Business Mailing Address
First Line : 36 CORONA CT
Second Line :
City : OLD BRIDGE
State : NJ
Zip : 08857-2838
Country : US
Telephone Number : 732-771-4753
Fax Number :
Provider Business Practice Location Address
First Line : 545 ISLAND RD STE 2B
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2822
Country : US
Telephone Number : 201-995-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ NIMA PATEL ” Practice Location

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