Chirag D Patel (NPI# 1114326162, PAC ID# 5991003972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1114326162 |
PAC ID by PECOS | 5991003972 |
Professional Enrollment ID | I20160406002319 |
Full Name | Chirag D Patel |
Organization Legal Name | SOUTH ORANGE AVE MEDICAL ASSOCIATES LLC |
Address |
835 Clinton Ave Newark NJ 07108-1035 |
Phone Number | 9733993323 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
Graduation Year | 2012 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 8022272509 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
310096 | SAINT MICHAEL'S MEDICAL CENTER |
310083 | EAST ORANGE GENERAL HOSPITAL |
310038 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL |
310076 | SAINT BARNABAS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
835 Clinton Ave, Newark, NJ 07108-1035 | 9733993323 | SOUTH ORANGE AVE MEDICAL ASSOCIATES LLC |
Organization Legal Name | SOUTH ORANGE AVE MEDICAL ASSOCIATES LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ramesh L Patel | Internal Medicine | South Orange Ave Medical Associates LLC | 835 Clinton Ave, Newark, NJ 07108-1035 |
Sulakshana Gandhi | Internal Medicine | South Orange Ave Medical Associates LLC | 310 Central Ave, East Orange, NJ 07018-2835 |
Street Address |
835 CLINTON AVE |
City | NEWARK |
State | NJ |
Zip | 07108-1035 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ramesh L Patel | Internal Medicine | South Orange Ave Medical Associates LLC | 835 Clinton Ave, Newark, NJ 07108-1035 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ayana Webb | Qualified Speech Language Pathologist | 56 Clinton Pl, Newark, NJ 07108-1219 |
City | NEWARK |
Zip Code | 07108 |
Specialty | INTERNAL MEDICINE |
City + Specialty | NEWARK + INTERNAL MEDICINE |
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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.