Healthcare Provider Details

I. General information

NPI: 1194410258
Provider Name (Legal Business Name): SUNIL D PATEL MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HORIZON CENTER BLVD
HAMILTON NJ
08691-1910
US

IV. Provider business mailing address

100 HORIZON CENTER BLVD
HAMILTON NJ
08691-1910
US

V. Phone/Fax

Practice location:
  • Phone: 973-333-4963
  • Fax:
Mailing address:
  • Phone: 609-757-8631
  • Fax: 609-719-9094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ01465400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: