Provider Demographics
NPI:1699867572
Name:PATEL, JIGNASA R (MD)
Entity type:Individual
Prefix:DR
First Name:JIGNASA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 VIRGINIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-394-0157
Mailing Address - Fax:973-394-8806
Practice Address - Street 1:60 BALDWIN RD SUITE #101
Practice Address - Street 2:TROY HILLS MEDICAL GROUP PA
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:973-394-8805
Practice Address - Fax:973-394-3806
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8118400Medicaid
G96525Medicare UPIN
NJ8118400Medicaid