Shivam Manoj Patel, MD is a
Student In An Organized Health Care Education/training Program physician based in Newark, New Jersey. Shivam Manoj Patel is licensed to practice in * (Not Available) (license number ) and his current practice location is 185 S Orange Ave, Newark, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(732) 445-4636.
NPI number for Shivam Manoj Patel is 1083292544 and his current mailing address is 185 S Orange Ave, Newark, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083292544.
Physician's Profile
Full Name | Shivam Manoj Patel |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 185 S Orange Ave, Newark, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083292544
- Provider Enumeration Date: 03/29/2021
- Last Update Date: 06/24/2025
Medical Identifiers
Medical identifiers for Shivam Manoj Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083292544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD490697 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shivam Manoj Patel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shivam Manoj Patel, MD 185 S Orange Ave, Newark, NJ 07103-2757 Ph: (732) 445-4636 | Shivam Manoj Patel, MD 185 S Orange Ave, Newark, NJ 07103-2757 Ph: (732) 445-4636 |
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