Healthcare Provider Details

I. General information

NPI: 1174487433
Provider Name (Legal Business Name): SHIKHA PATEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 PENN PLZ
NEW YORK NY
10001-3967
US

IV. Provider business mailing address

22 ALLISON CT
MONMOUTH JCT NJ
08852-2624
US

V. Phone/Fax

Practice location:
  • Phone: 646-402-6446
  • Fax:
Mailing address:
  • Phone: 732-642-3019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number86518801
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: