MEDICARE: DR. JIGAR PATEL DDS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1902792666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIGAR PATEL DDS

Provider Business Mailing Address
First Line	:	222 E 111TH ST APT 5G
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-3161
Country	:	US
Telephone Number	:	248-892-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 JARRETT PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2607
Country	:	US
Telephone Number	:	718-405-8194
Fax Number	:

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

Provider Enumeration Date	:	06/17/2025
Last Update Date	:	06/17/2025

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