Kirtikumar J Patel, MD FACS | |
530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 | |
(732) 442-3700 | |
Not Available |
Full Name | Kirtikumar J Patel |
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Gender | Male |
Speciality | Surgery |
Location | 530 New Brunswick Ave, Perth Amboy, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588790281 | NPI | - | NPPES |
00248375 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25MA08020500 (New Jersey) | Primary |
208600000X | Surgery | MD.202858 (Louisiana) | Secondary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Raritan Bay Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306954243 PECOS PAC ID: 6204820574 Enrollment ID: O20041105000457 |
Entity Name | Meridian Medical Group-specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942362587 PECOS PAC ID: 6507962206 Enrollment ID: O20070425000673 |
Entity Name | Surgery Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457698805 PECOS PAC ID: 6305068529 Enrollment ID: O20141104000040 |
Mailing Address | Practice Location Address |
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Kirtikumar J Patel, MD FACS 454 Kosciusko Ave, South Plainfield, NJ 07080-3961 Ph: (908) 222-7095 | Kirtikumar J Patel, MD FACS 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654 Ph: (732) 442-3700 |
Ajit Desai, Surgery Medicare: Medicare Enrolled Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-5348 Fax: 732-324-4811 | |
Maximo Gabucan, Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-5348 Fax: 732-324-4811 | |
Dr. Francisco Antonio Salcie, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 321 High St, Perth Amboy, NJ 08861 Phone: 732-324-0507 Fax: 732-324-0509 | |
Dr. Guillermo Gutierrez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-6031 Fax: 732-324-4811 |