MEDICARE: P AND S MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	213ES0131X	Foot Surgery Podiatrist
2	207N00000X	Dermatology Physician
3	213EP1101X	Primary Podiatric Medicine Podiatrist
4	207NP0225X	Pediatric Dermatology Physician
5	207ND0101X	MOHS-Micrographic Surgery Physician
6	207NS0135X	Procedural Dermatology Physician
7	213ES0000X	Sports Medicine Podiatrist
8	213E00000X	Podiatrist
9	213ES0103X	Foot & Ankle Surgery Podiatrist
10	213ER0200X	Radiology Podiatrist
11	207ND0900X	Dermatopathology Physician
12	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1598480147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P AND S MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	245 UNION AVE STE 1A
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3064
Country	:	US
Telephone Number	:	732-443-3975
Fax Number	:	908-490-6345

Provider Business Practice Location Address
First Line	:	245 UNION AVE STE 1A
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3064
Country	:	US
Telephone Number	:	732-443-3975
Fax Number	:	908-490-6345

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	PARTH PIYUSH PATEL
Credential	:	MD
Telephone Number	:	732-443-3975

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	05/09/2026

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