Provider Demographics
NPI:1760240949
Name:PATEL, JAINABEN (PHARMD, BCIDP)
Entity Type:Individual
Prefix:DR
First Name:JAINABEN
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD, BCIDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-2102
Mailing Address - Country:US
Mailing Address - Phone:732-423-9850
Mailing Address - Fax:
Practice Address - Street 1:140 CHARLES ST
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2102
Practice Address - Country:US
Practice Address - Phone:732-423-9850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04191200183500000X
NY069151183500000X
NJB111018941835I0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835I0206XPharmacy Service ProvidersPharmacistInfectious Diseases
No183500000XPharmacy Service ProvidersPharmacist