Healthcare Provider Details

I. General information

NPI: 1679033708
Provider Name (Legal Business Name): JAY P PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2019
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MEMORIAL PKWY STE 201
PHILLIPSBURG NJ
08865-2748
US

IV. Provider business mailing address

6 STRAWBERRY LN
WARREN NJ
07059-7052
US

V. Phone/Fax

Practice location:
  • Phone: 908-847-8884
  • Fax:
Mailing address:
  • Phone: 609-781-5682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25MA12724700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD490395
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: