Healthcare Provider Details

I. General information

NPI: 1184720880
Provider Name (Legal Business Name): SMITA PATEL, M.D. & ASSOC. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 MONTVALE AVE SUITE 2200
STONEHAM MA
02180-3647
US

IV. Provider business mailing address

92 MONTVALE AVE SUITE 2200
STONEHAM MA
02180-3647
US

V. Phone/Fax

Practice location:
  • Phone: 781-438-4300
  • Fax: 781-279-2078
Mailing address:
  • Phone: 781-438-4300
  • Fax: 781-279-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SMITA K PATEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 781-438-4300