HEMANT PATEL MD PC - NPI NUMBER 1750304978

Summary

Provider Name: HEMANT PATEL MD PC

NPI Number: 1750304978

Clasification: Legal Medicine (173000000X)

Address:
33 W 125TH ST
NEW YORK, NY
ZIP 10027

Phone Number: (212) 289-5795



Detailed Information

HEMANT PATEL MD PC is a legal medicine in New York, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. The assigned NPI number for this provider is 1750304978 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

33 W 125TH ST
NEW YORK, NY
ZIP 10027-512
Phone: (212) 289-5795

The provider's authorized official is Hemant Patel .
The authorized official title is Sole Proprieter and has the following contact phone number (212) 289-5795.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 173000000X Legal Medicine 169377 NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 93D181 MEDICARE ID-TYPE UNSPECIFIED NY
2 01015512 MEDICAID NY
3 A64876 MEDICARE UPIN NY

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1750304978 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name HEMANT PATEL MD PC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 33 W 125TH ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name NEW YORK The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name NY The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 100274512 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 2122895795 The telephone number associated with the location address of the provider being identified.
11 Provider Enumeration Date 7/26/2006 The date the provider was assigned a unique identifier (assigned an NPI).
12 Last Update Date 7/8/2007 The date that a record was last updated or changed.
13 Authorized Official Last Name PATEL The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
14 Authorized Official First Name HEMANT The first name of the authorized official.
15 Authorized Official Title or Position SOLE PROPRIETER The title or position of the authorized official.
16 Authorized Official Telephone Number 2122895795 The 10-position telephone number of the authorized official.
17 Healthcare Provider Taxonomy Code 1 173000000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 169377 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 NY The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 93D181 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier State 1 NY
24 Other Provider Identifier 2 01015512 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 2 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier State 2 NY
27 Other Provider Identifier 3 A64876 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier Type Code 3 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier State 3 NY
30 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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