Provider Demographics
NPI:1881904985
Name:ENGLEWOOD ASSOCIATES PC
Entity type:Organization
Organization Name:ENGLEWOOD ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-232-6001
Mailing Address - Street 1:505 E BROAD ST
Mailing Address - Street 2:STE 1
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2190
Mailing Address - Country:US
Mailing Address - Phone:908-232-6001
Mailing Address - Fax:908-232-0780
Practice Address - Street 1:505 E BROAD ST
Practice Address - Street 2:STE 1
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2190
Practice Address - Country:US
Practice Address - Phone:908-232-6001
Practice Address - Fax:908-232-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07591100261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ187741Medicare PIN