Provider Demographics
NPI:1093809576
Name:PATEL, ASHOK K (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:K
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HOSPITAL DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6434
Mailing Address - Country:US
Mailing Address - Phone:732-244-2299
Mailing Address - Fax:732-244-5757
Practice Address - Street 1:20 HOSPITAL DR
Practice Address - Street 2:SUITE 12
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6434
Practice Address - Country:US
Practice Address - Phone:732-244-2299
Practice Address - Fax:732-244-5757
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04651300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA64940Medicare UPIN
NJ557073DNUMedicare PIN