Healthcare Provider Details

I. General information

NPI: 1013728443
Provider Name (Legal Business Name): ZEEIL PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 VILLA ST
MOUNTAIN VIEW CA
94041-1236
US

IV. Provider business mailing address

22 BRENTWOOD PL
MONROE TOWNSHIP NJ
08831-5877
US

V. Phone/Fax

Practice location:
  • Phone: 732-915-6162
  • Fax:
Mailing address:
  • Phone: 732-618-2445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06424100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: