Shruti A Patel (NPI# 1992187082, PAC ID# 1850648379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1992187082 |
| PAC ID by PECOS | 1850648379 |
| Professional Enrollment ID | I20180716000842 |
| Full Name | Shruti A Patel |
| Organization Legal Name | ACTIVE ORTHOPEDICS AND SPORTS MEDICINE LLC. |
| Address |
440 Old Hook Rd Emerson NJ 07630-1331 |
| Phone Number | 2013580707 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6507023124 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 440 Old Hook Rd, Emerson, NJ 07630-1331 | 2013580707 | ACTIVE ORTHOPEDICS AND SPORTS MEDICINE LLC. |
| Organization Legal Name | ACTIVE ORTHOPEDICS AND SPORTS MEDICINE LLC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oscar Vazquez | Orthopedic Surgery | Active Orthopedics and Sports Medicine LLC. | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Thomas K John | Orthopedic Surgery | Active Orthopedics and Sports Medicine LLC. | 1 Bay Ave, Montclair, NJ 07042-4837 |
| James C Natalicchio | Physical Medicine and Rehabilitation | Active Orthopedics and Sports Medicine LLC. | 25 Prospect Ave, Hackensack, NJ 07601-1960 |
| Justin A Mendoza | Physical Medicine and Rehabilitation | Active Orthopedics and Sports Medicine LLC. | 1 Bay Ave, Montclair, NJ 07042-4837 |
| Michael L Gross | Orthopedic Surgery | Active Orthopedics and Sports Medicine LLC. | 25 Prospect Ave, Hackensack, NJ 07601-1960 |
| Angela Ylenia Giuffrida | Orthopedic Surgery | Active Orthopedics and Sports Medicine LLC. | 25 Prospect Ave, Hackensack, NJ 07601-1960 |
| Ralph C Napoli | Podiatry | Active Orthopedics and Sports Medicine LLC. | 67 Broadway, Elmwood Park, NJ 07407-1836 |
| Ana Maria Pimentel | Podiatry | Active Orthopedics and Sports Medicine LLC. | 25 Prospect Ave, Hackensack, NJ 07601-1960 |
| John Mendes | Orthopedic Surgery | Active Orthopedics and Sports Medicine LLC. | 25 Prospect Ave, Hackensack, NJ 07601-1960 |
| Michael T Benke | Orthopedic Surgery | Active Orthopedics and Sports Medicine LLC. | 25 Prospect Ave, Hackensack, NJ 07601-1960 |
| Street Address |
440 OLD HOOK RD |
| City | EMERSON |
| State | NJ |
| Zip | 07630-1331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mick Sudol | Physical Therapy | Professional Occupational and Physical Therapy Pllc | 440 Old Hook Rd, Emerson, NJ 07630-2302 |
| Brittany Del Duca | Occupational Therapy | Professional Occupational and Physical Therapy Pllc | 440 Old Hook Rd, Emerson, NJ 07630-2302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Baron I Kim | Physical Therapy | Emerson Physical Therapy LLC | 45 Emerson Plaza E, 102 Emerson Phy Therapy and Rehab, Emerson, NJ 07630-0001 |
| Clifford Bachiman | Physical Therapy | Emerson Physical Therapy LLC | 45 Emerson Plaza E, 102 Emerson Phy Therapy and Rehab, Emerson, NJ 07630-0001 |
| Sandeep Kour | Endocrinology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Frank L Mastrianno | Internal Medicine | 466 Old Hook Rd, Suite 28, Emerson, NJ 07630-1368 | |
| Jeff Chung | Rheumatology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Janelle A Yee | Endocrinology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Bon Chang Koo | Gastroenterology | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Laurie Schlussel | Registered Dietitian Or Nutrition Professional | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 | |
| Ofra Csw Markowitz | Clinical Social Worker | 466 Old Hook Rd, Suite 30, Emerson, NJ 07630-1368 | |
| Neeta R Motiwala | Internal Medicine | Mpv New Jersey Md Services PC | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1368 |
| Find all physicians in zip 07630 | |||
| City | EMERSON |
| Zip Code | 07630 |
| Specialty | PODIATRY |
| City + Specialty | EMERSON + PODIATRY |
Please comment or provide details below to improve the information on Shruti A Patel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.