Healthcare Provider Details

I. General information

NPI: 1922125038
Provider Name (Legal Business Name): KALPESHKUMAR P. PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: K PATEL MD

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HOSPITAL PLZ STE 320
OLD BRIDGE NJ
08857
US

IV. Provider business mailing address

2 HOSPITAL PLZ STE 320
OLD BRIDGE NJ
08857-3153
US

V. Phone/Fax

Practice location:
  • Phone: 732-625-8200
  • Fax: 732-625-8218
Mailing address:
  • Phone: 732-625-8200
  • Fax: 732-625-8218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA08271300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number25MA08271300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: