Provider Demographics
NPI:1508124025
Name:PATEL, JIGNA K (MD)
Entity Type:Individual
Prefix:MRS
First Name:JIGNA
Middle Name:K
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 RIVER RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-6526
Mailing Address - Country:US
Mailing Address - Phone:201-868-6755
Mailing Address - Fax:201-868-8442
Practice Address - Street 1:1 UNION ST
Practice Address - Street 2:SUITE 106
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691
Practice Address - Country:US
Practice Address - Phone:609-252-8756
Practice Address - Fax:609-208-2847
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09743800207V00000X, 207VC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VC0200XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyCritical Care Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0473014Medicaid
NJ051725OtherMEDICARE GROUP PTAN
NJ25MA09743800OtherLICENSE
NJ25MA09743800OtherLICENSE