DR. RUTWIK PATEL (NPI# 1619536455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619536455 |
| Entity Type | Individual |
| Full Name | DR. RUTWIK PATEL |
| Credential | DO |
| Practice Address |
111 Central Avenue Medical Education Department Newark NJ 07102 |
| Mailing Address |
51 Clifton Ave Apt C911 Newark NJ 07104-4512 |
| Practice Telephone | 9738775465 |
| Practice Fax Number | 9738775767 |
| Mailing Telephone | 9783197985 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952899049 | Rutwik Kiritbhai Patel | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-04-25 |
| Street Address |
111 CENTRAL AVENUE MEDICAL EDUCATION DEPARTMENT |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777458 | Saint Michael's Medical Center, Inc. | Clinic/Center | 111 Central Avenue, Newark, NJ 07102-1909 | 2005-08-11 |
| 1811500101 | Rime Mehannek | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Newark, NJ 07102 | 2020-08-26 |
| 1407478282 | Folasade Modupe Ajayi | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Newark, NJ 07102 | 2020-05-14 |
| 1467008839 | Szabela Infectious Disease Consulting | Internal Medicine | 111 Central Avenue, Newark, NJ 07102-1909 | 2019-08-12 |
| 1538421714 | Jessica Kathleen Mclane | Emergency Medicine | 111 Central Avenue, Newark, NJ 07102 | 2012-06-13 |
| 1689984940 | Asclepius Vascular Services PC | Surgery | 111 Central Avenue, Newark, NJ 07102 | 2010-10-20 |
| 1174613178 | Elvira J Gutierrez | Physician Assistant | 111 Central Avenue, Saint Michael's Medical Center, Newark, NJ 07102 | 2006-10-13 |
| 1255423885 | Louis J Perl | Radiology | 111 Central Avenue, Newark, NJ 07102-1909 | 2006-09-29 |
| 1851407951 | Nalini S Parikh | Pathology | 111 Central Avenue, St. Michaels Medical Center, Newark, NJ 07102 | 2006-08-22 |
| 1083640965 | Akbar Hussain Noormohamed | Emergency Medicine | 111 Central Avenue, Newark, NJ 07102-1909 | 2006-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165959 | Nikolina Markovic | Student in an Organized Health Care Education/Training Program | 140 Bergen St # I121, Newark, NJ 07103-2425 | 2020-08-17 |
| 1770191413 | Matthias Dunse | Student in an Organized Health Care Education/Training Program | 90 Bergen St # 5200, Newark, NJ 07103-2425 | 2020-07-20 |
| 1659998805 | Alejandra Lazaro | Student in an Organized Health Care Education/Training Program | 35982 Burning Tree Dr, Newark, CA 94560-1530 | 2020-07-02 |
| 1912524968 | Tyson Mellish Anthony | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 | 2020-06-25 |
| 1891319646 | Mary Thi Tran | Student in an Organized Health Care Education/Training Program | 6230 Smith Ave, Newark, CA 94560-4541 | 2020-06-07 |
| 1891319638 | Onoyom O Onyile | Student in an Organized Health Care Education/Training Program | 110 Bergen St Rm C-723, Newark, NJ 07103-2495 | 2020-06-07 |
| 1235750936 | Dave Arnanth Thiyagaram | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave Medical Science Building, Suite G, Newark, NJ 07103-2757 | 2020-05-04 |
| 1619597093 | Naana Boachie | Student in an Organized Health Care Education/Training Program | 11 7th Ave Apt 5c, Newark, NJ 07104-3303 | 2020-04-25 |
| 1447870480 | Hadeel Samy Sadek | Student in an Organized Health Care Education/Training Program | 150 Bergen St # Uhi248, Newark, NJ 07103-2496 | 2020-04-20 |
| 1225657836 | Deneshia Mcintosh | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave Bldg G594, Newark, NJ 07103-2757 | 2020-04-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.