DR. JAY P PATEL (NPI# 1679033708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679033708 |
| Entity Type | Individual |
| Full Name | DR. JAY P PATEL |
| Credential | MD |
| Practice Address |
140 Bergen St Ste D-1610 Newark NJ 07103-2425 |
| Mailing Address |
30 Hillside Ln Mount Laurel NJ 08054-4517 |
| Practice Telephone | 9739723860 |
| Mailing Telephone | 6097815682 |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2019-03-24 |
| 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 | NJ | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871099119 | Jay Patel | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm Ll28, Louisville, KY 40202-1702 | 2018-04-04 |
| 1104344712 | Jay Patel | Pharmacist | 6410 I-45 (walmart Pharmacy), Lamarque, TX 77568 | 2017-09-03 |
| 1215462320 | Jay Patel | Dentist | 537 E Street Rd, Feasterville Trevose, PA 19053-7772 | 2017-04-26 |
| 1497131189 | Jay Patel | Dentist | 349 Second St, Suite B2, Jersey City, NJ 07302 | 2015-08-04 |
| 1336554013 | Jay Patel | Dentist | 7409 Silent Willow Ct, Manassas, VA 20112-5550 | 2014-06-21 |
| 1396009973 | Jay Subhash Patel | Family Medicine | 11420 Madera Gardens Dr Sw, Lakewood, WA 98499 | 2012-06-28 |
| 1124392931 | Jay M Patel | Physical Therapist | 1609 Woodbourne Rd Ste 203b, Levittown, PA 19057-1538 | 2012-02-27 |
| 1811286776 | Jay Patel | Radiology | 221 High Street, Suite 101, Newton, NJ 07860 | 2011-03-31 |
| 1174852438 | Jay K Patel | Dentist | 25775 W 10 Mile Rd Ste 104, Southfield, MI 48033-4856 | 2009-12-16 |
| 1316104839 | Jay B Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 610 N Michigan St Ste 306, South Bend, IN 46601-1079 | 2008-05-21 |
| Street Address |
140 BERGEN ST STE D-1610 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578069290 | Patrick Mattern | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2018-04-02 |
| 1164051512 | Dustin Robert Biron | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2020-04-07 |
| 1942839741 | Thomas Stavro Soussou | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2020-04-03 |
| 1912534017 | Tej Joshi | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2020-03-26 |
| 1053871731 | Ari Berg | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2019-03-20 |
| 1740749555 | Rahul Rai | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2019-03-19 |
| 1659878502 | Justin Michael Rock | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2018-04-08 |
| 1992202956 | Matthew Joseph Michel | Student in an Organized Health Care Education/Training Program | 140 Bergen St Ste D-1610, Newark, NJ 07103-2425 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| 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 |
| Find all providers in NEWARK | ||||
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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.