Healthcare Provider Details

I. General information

NPI: 1881375830
Provider Name (Legal Business Name): RIYA PATEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 PARK AVE
PLAINFIELD NJ
07060-2911
US

IV. Provider business mailing address

175 NEW YORK AVE
SOUTH PLAINFIELD NJ
07080-2012
US

V. Phone/Fax

Practice location:
  • Phone: 908-757-6363
  • Fax:
Mailing address:
  • Phone: 848-667-3627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00891400
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: