MEDICARE: NAND PATEL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	1231467	NJ

General Provider Information

NPI Number	:	1568276350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAND PATEL PA

Provider Business Mailing Address
First Line	:	2814 JOHN F KENNEDY BLVD APT 401
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-3933
Country	:	US
Telephone Number	:	201-917-8023
Fax Number	:

Provider Business Practice Location Address
First Line	:	2814 JOHN F KENNEDY BLVD APT 401
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-3933
Country	:	US
Telephone Number	:	201-917-8023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	02/03/2025

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Directions to “ NAND PATEL PA” Practice Location

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