MEDICARE: HEMANT G PATEL MD 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	174400000X	Specialist	MA043021	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841245081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEMANT G PATEL MD PA

Provider Business Mailing Address
First Line	:	PO BOX 290
Second Line	:
City	:	VAUXHALL
State	:	NJ
Zip	:	07088-0290
Country	:	US
Telephone Number	:	201-512-9494
Fax Number	:

Provider Business Practice Location Address
First Line	:	646 SANFORD AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07106-3036
Country	:	US
Telephone Number	:	973-373-7700
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HEMANTKUMAR G PATEL
Credential	:	MD
Telephone Number	:	973-373-7700

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	05/07/2014

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