Healthcare Provider Details

I. General information

NPI: 1427132943
Provider Name (Legal Business Name): PALAK NALIN PATEL P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROSPECT AVE STE 703
HACKENSACK NJ
07601-1963
US

IV. Provider business mailing address

237 NORTH ST
JERSEY CITY NJ
07307-3336
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-4424
  • Fax: 551-996-0831
Mailing address:
  • Phone: 201-988-4950
  • Fax: 973-470-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number25MP00169000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00169000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: