Provider Demographics
NPI:1306253968
Name:PATEL, NIKESH N (RPH)
Entity type:Individual
Prefix:
First Name:NIKESH
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 KEARNY AVE
Mailing Address - Street 2:APT # 5B
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817
Mailing Address - Country:US
Mailing Address - Phone:224-619-5087
Mailing Address - Fax:
Practice Address - Street 1:791 HAMBURG TPKE
Practice Address - Street 2:RAMAPO PLAZA
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-8416
Practice Address - Country:US
Practice Address - Phone:973-832-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI036324001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy