Provider Demographics
NPI:1427132943
Name:PATEL, PALAK NALIN (PA)
Entity type:Individual
Prefix:MS
First Name:PALAK
Middle Name:NALIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:237 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-3336
Mailing Address - Country:US
Mailing Address - Phone:201-988-4950
Mailing Address - Fax:973-470-3506
Practice Address - Street 1:20 PROSPECT AVE STE 703
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1963
Practice Address - Country:US
Practice Address - Phone:551-996-4424
Practice Address - Fax:551-996-0831
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00169000207PE0004X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ107967TLMMedicare PIN