Healthcare Provider Details

I. General information

NPI: 1770162364
Provider Name (Legal Business Name): JAYKUMAR N. PATEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JAY PATEL DO

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COOPER PLZ
CAMDEN NJ
08103-1461
US

IV. Provider business mailing address

1 FEDERAL ST STE 200
CAMDEN NJ
08103-1088
US

V. Phone/Fax

Practice location:
  • Phone: 856-382-6500
  • Fax:
Mailing address:
  • Phone: 848-288-6935
  • Fax: 551-322-6173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA12278100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MB12388800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: