Healthcare Provider Details

I. General information

NPI: 1801250766
Provider Name (Legal Business Name): NEEL PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 HOSPITAL DR STE 100B
WILLINGBORO NJ
08046-1128
US

IV. Provider business mailing address

331 NEWMAN SPRINGS RD STE 220
RED BANK NJ
07701-5792
US

V. Phone/Fax

Practice location:
  • Phone: 609-835-3624
  • Fax: 609-835-3628
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA11890200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: