Healthcare Provider Details

I. General information

NPI: 1962301408
Provider Name (Legal Business Name): ANISH PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2026
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 PENNINGTON RD
EWING NJ
08638-1416
US

IV. Provider business mailing address

7 NAVESINK DR
PENNINGTON NJ
08534-1904
US

V. Phone/Fax

Practice location:
  • Phone: 609-882-2404
  • Fax:
Mailing address:
  • Phone: 203-527-2405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04519100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: