Healthcare Provider Details

I. General information

NPI: 1932803889
Provider Name (Legal Business Name): NAIYA PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 POCONO RD
DENVILLE NJ
07834-2954
US

IV. Provider business mailing address

180 HARDING PL
MAYWOOD NJ
07607-1706
US

V. Phone/Fax

Practice location:
  • Phone: 973-625-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA13030800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: