Provider Demographics
NPI:1730128901
Name:PATEL, MEENA S (MD)
Entity Type:Individual
Prefix:DR
First Name:MEENA
Middle Name:S
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 1:1031 MCBRIDE AVE
Mailing Address - Street 2:SUITE D212
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2559
Mailing Address - Country:US
Mailing Address - Phone:973-890-1303
Mailing Address - Fax:973-890-5609
Practice Address - Street 1:1031 MCBRIDE AVE
Practice Address - Street 2:SUITE D212
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424-2559
Practice Address - Country:US
Practice Address - Phone:973-890-1303
Practice Address - Fax:973-890-5609
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA035685207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1753401Medicaid
NJIP076OtherOXFORD
NJ4109550OtherAETNA HMO
NJF00915OtherHEALTHNET
NJ005AT1OtherEMPIRE BC/BS
NJ110013667OtherRAILROAD MEDICARE
NJ2117469OtherAETNA PPO
NJ0016588OtherGHI PPO
NJ2107669002OtherAMERIHEALTH
NJ454139Medicare PIN
NJF00915OtherHEALTHNET