Provider Demographics
NPI:1831327675
Name:PATEL, NITIN NICK (MD)
Entity type:Individual
Prefix:DR
First Name:NITIN
Middle Name:NICK
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:255 W SPRING VALLEY AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1445
Mailing Address - Country:US
Mailing Address - Phone:201-487-8866
Mailing Address - Fax:201-487-2610
Practice Address - Street 1:255 W SPRING VALLEY AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1445
Practice Address - Country:US
Practice Address - Phone:201-487-8866
Practice Address - Fax:201-487-2610
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08598200208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology