=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831984913
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RITHI PATEL PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2025
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 731 NJ-35
-----------------------------------------------------
City | ASBURY PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 848-306-5957
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 731 NJ-35
-----------------------------------------------------
City | ASBURY PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 848-306-5957
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | 25MP00916900
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------