Healthcare Provider Details

I. General information

NPI: 1881511251
Provider Name (Legal Business Name): KAJAL PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. CATHERINE OF SIENA HOSPITAL 50 ROUTE 25A
SMITHTOWN NY
11787
US

IV. Provider business mailing address

GOOD SAMARITAN UNIVERSITY HOSPITAL 1000 MONTAUK HIGHWAY
WEST ISLIP NY
11795
US

V. Phone/Fax

Practice location:
  • Phone: 631-862-3748
  • Fax:
Mailing address:
  • Phone:
  • Fax: 631-376-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: