Healthcare Provider Details

I. General information

NPI: 1043168487
Provider Name (Legal Business Name): PUNITKUMAR B PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 ALGONQUIN PKWY
WHIPPANY NJ
07981-1653
US

IV. Provider business mailing address

153 SUNRISE DR
WHIPPANY NJ
07981-1169
US

V. Phone/Fax

Practice location:
  • Phone: 862-579-5289
  • Fax:
Mailing address:
  • Phone: 862-579-5289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: