MEDICARE: DR. NIGAM DHARMENDRA PATEL MD

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	208M00000X	Hospitalist Physician	25MA11371800	NJ
2	207RR0500X	Rheumatology Physician	25MA11371800	NJ

General Provider Information

NPI Number	:	1710474127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIGAM DHARMENDRA PATEL MD

Provider Business Mailing Address
First Line	:	1358 HOOPER AVE STE 13
Second Line	:	PMB 308
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2882
Country	:	US
Telephone Number	:	848-317-8152
Fax Number	:

Provider Business Practice Location Address
First Line	:	780 ROUTE 37 W STE 110
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-5059
Country	:	US
Telephone Number	:	848-317-8152
Fax Number	:	848-317-8188

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

Provider Enumeration Date	:	04/20/2018
Last Update Date	:	03/04/2026

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