Provider Demographics
NPI:1902877145
Name:PATEL, NEIL P (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:P
Last Name:PATEL
Suffix:
Gender:M
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:NEUROSURGICAL ASSOCIATES OF NEW JERSEY P.C.
Mailing Address - Street 2:1200 E RIDGEWOOD AVE STE 200
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3957
Mailing Address - Country:US
Mailing Address - Phone:201-327-8600
Mailing Address - Fax:201-327-8225
Practice Address - Street 1:NEUROSURGICAL ASSOCIATES OF NEW JERSEY P.C.
Practice Address - Street 2:10 WALDRON AVENUE
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2965
Practice Address - Country:US
Practice Address - Phone:845-288-2395
Practice Address - Fax:845-818-3922
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229019207LP2900X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0770J1Medicare ID - Type Unspecified
I22565Medicare UPIN