Provider Demographics
NPI:1922125038
Name:PATEL, KALPESHKUMAR P (MD)
Entity Type:Individual
Prefix:DR
First Name:KALPESHKUMAR
Middle Name:P
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:K
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2 HOSPITAL PLZ STE 320
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3153
Mailing Address - Country:US
Mailing Address - Phone:732-625-8200
Mailing Address - Fax:732-625-8218
Practice Address - Street 1:2 HOSPITAL PLZ STE 320
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857
Practice Address - Country:US
Practice Address - Phone:732-625-8200
Practice Address - Fax:732-625-8218
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08271300207Q00000X, 207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0142280Medicaid
NJ196732Medicare PIN