Healthcare Provider Details

I. General information

NPI: 1134811276
Provider Name (Legal Business Name): RINAL PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 ROUTE 202
BRIDGEWATER NJ
08807-2727
US

IV. Provider business mailing address

704 ROUTE 202
BRIDGEWATER NJ
08807-2727
US

V. Phone/Fax

Practice location:
  • Phone: 908-526-6266
  • Fax:
Mailing address:
  • Phone: 201-932-8629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI03026900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI03026900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: