Provider Demographics
NPI:1003188293
Name:PATEL, SARAH C (PA-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:C
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26 BEEKMAN TER
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1730
Mailing Address - Country:US
Mailing Address - Phone:908-642-6979
Mailing Address - Fax:
Practice Address - Street 1:1305 YORK AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5663
Practice Address - Country:US
Practice Address - Phone:646-962-4000
Practice Address - Fax:646-962-0110
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ24MP00269800363A00000X
PAOA002729363A00000X, 363A00000X
NY015186363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant