Healthcare Provider Details

I. General information

NPI: 1235045212
Provider Name (Legal Business Name): DHARA PATEL DNP, CNM, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK NJ
08901-1928
US

IV. Provider business mailing address

80 12TH ST
SOMERSET NJ
08873-1546
US

V. Phone/Fax

Practice location:
  • Phone: 732-589-4602
  • Fax:
Mailing address:
  • Phone: 732-589-4602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number25ME00097200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: