Provider Demographics
NPI:1497732994
Name:PATEL, PARESHCHANDRA C (MD)
Entity Type:Individual
Prefix:DR
First Name:PARESHCHANDRA
Middle Name:C
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PARESH
Other - Middle Name:C
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:164 BUTLER RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1812
Mailing Address - Country:US
Mailing Address - Phone:732-629-1100
Mailing Address - Fax:
Practice Address - Street 1:164 BUTLER RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:NJ
Practice Address - Zip Code:08823-1812
Practice Address - Country:US
Practice Address - Phone:732-629-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05167800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ110055183OtherRAILROAD MEDICARE
NJ10671328OtherCAQH
NJ5066301Medicaid
NJ80K141OtherWELL CHOICE / EMPIRE BCBS
NJ110055183OtherRAILROAD MEDICARE
NJ11448OtherUNIVERSITY HEALTH PLAN
NJ60001961OtherHORIZON NJ HEALTH
NJ10671328OtherCAQH
NJ4121245OtherCIGNA
NJOK9623OtherHEALTHNET
NJP2090207OtherOXFORD
NJPP080K1400OtherEMPIRE BCBS
NJ0000633474OtherAMERIHEALTH
NJ01000169800OtherAMERICHOICE
NJ183078OtherAETNA
NJE60992Medicare UPIN
NJ183078OtherAETNA