Healthcare Provider Details

I. General information

NPI: 1588363220
Provider Name (Legal Business Name): URJABEN PRAMODBHAI PATEL APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4076 SPECTACLE DR
COLUMBUS OH
43230-8508
US

IV. Provider business mailing address

2250 CHAPEL AVE W
CHERRY HILL NJ
08002-2051
US

V. Phone/Fax

Practice location:
  • Phone: 646-496-3474
  • Fax:
Mailing address:
  • Phone: 856-210-8038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0032609
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15516700
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0032609
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: