| Shivani Patel, | |
|
8008 Route 130 Ste 120, Delran, NJ 08075-1869 | |
| (844) 542-2273 | |
| Not Available |
| Full Name | Shivani Patel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 8008 Route 130 Ste 120, Delran, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396339990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP023181 (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | 26NJ01115000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Stratford Hospital | Stratford, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kennedy Medical Group Practice, P.c. | 2860616877 | 350 |
| Entity Name | Kennedy Medical Group Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952726796 PECOS PAC ID: 2860616877 Enrollment ID: O20140613000689 |
| Entity Name | Visavis Health Care Medical Group Of Nj Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881336428 PECOS PAC ID: 1456730670 Enrollment ID: O20220618000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivani Patel, 400 Laurel Oak Rd Ste 105, Voorhees, NJ 08043-4455 Ph: () - | Shivani Patel, 8008 Route 130 Ste 120, Delran, NJ 08075-1869 Ph: (844) 542-2273 |
Ms. Erica B Polaneczky, APNC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2906 Route 130, Suite 201, Delran, NJ 08075 Phone: 856-764-4115 Fax: 856-764-4116 | |
Alice Marie Keenan, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5045 Route 130, Suite F, Delran, NJ 08075 Phone: 856-461-1717 Fax: 856-461-1143 | |
Lauren B Gabler, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8008 Route 130, Suite 204, Delran, NJ 08075 Phone: 856-824-0099 Fax: 856-824-0088 | |
Sylvia Machalany, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8008 Us 130, Suite 120, Delran, NJ 08091 Phone: 856-764-7997 | |
Mrs. Frances Remy Keating, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8008 Route 130 Ste 120, Delran, NJ 08075 Phone: 844-542-2273 | |
Amy Michelle Thompkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Bentwood Dr, Delran, NJ 08075 Phone: 609-440-6633 |