Healthcare Provider Details

I. General information

NPI: 1285538140
Provider Name (Legal Business Name): KRISHNA PATEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 US HIGHWAY 22
SPRINGFIELD NJ
07081-3577
US

IV. Provider business mailing address

4 HANOVER RD UNIT A3
FLORHAM PARK NJ
07932-1803
US

V. Phone/Fax

Practice location:
  • Phone: 973-467-2767
  • Fax:
Mailing address:
  • Phone: 973-914-5339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR21386900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: