DR. JAYKUMAR C PATEL M.D. NPI 1104984400

NPI Information

NPI: 1104984400
Provider Name: DR. JAYKUMAR C PATEL, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
501 BATH RD
SUITE 508
BRISTOL, PA
ZIP 19007
Phone: (215) 785-9890
Get Directions

DR. Jaykumar C Patel, M.D. is a plastic and reconstructive surgery surgery in Bristol, PA. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jaykumar C Patel, M.D. NPI is 1104984400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 BATH RD
SUITE 508
BRISTOL, PA
ZIP 19007-101
Phone: (215) 785-9890
Fax: (215) 785-9987

The NPI 1104984400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	204E00000X	Oral & Maxillofacial Surgery		MD031132E	PENNSYLVANIA	No
2	208200000X	Plastic Surgery		MD031132E	PENNSYLVANIA	No
3	2082S0105X	Plastic Surgery	Surgery of the Hand	MD031132E	PENNSYLVANIA	No
4	208600000X	Surgery		MD031132E	PENNSYLVANIA	No
5	2086S0105X	Surgery	Surgery of the Hand	MD031132E	PENNSYLVANIA	No
6	2086S0122X	Surgery	Plastic and Reconstructive Surgery	MD031132E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000080208	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
2	07341843	MEDICAID	PENNSYLVANIA
3	00524710000	OTHER	PENNSYLVANIA	INDEPEDENCE BLUE CROSS
4	240001232	OTHER	PENNSYLVANIA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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