MEDICARE: NIKITA 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	2084P0800X	Psychiatry Physician	25MA12703800	NJ

General Provider Information

NPI Number	:	1972132462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKITA PATEL MD

Provider Business Mailing Address
First Line	:	331 NEWMAN SPRINGS ROAD BLDG. 2, SUITE 220
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:	201-751-1680

Provider Business Practice Location Address
First Line	:	27 S COOKS BRIDGE RD STE 2-7
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-2463
Country	:	US
Telephone Number	:	732-295-6543
Fax Number	:	732-295-6204

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

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	08/07/2025

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Directions to “ NIKITA PATEL MD” Practice Location

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