Physician Compare National (NPI:1932203171)

HEALTHCARE PROVIDER: JAYESH PATEL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932203171
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840194064
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110411000294
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATEL
	Individual professional last name
Provider First Name	JAYESH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	227 E SOMERDALE RD
	Group Practice or individual's line 1 address
City	SOMERDALE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080831105
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VIRTUA WEST JERSEY HOSPITALS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310029
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OUR LADY OF LOURDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y