Active NPIIndividual providerSole proprietor

Dr. Minati Pattanayak, MD, PC

Family Medicine in Willingboro, New Jersey

NPI Number1700971215
Practice location
89 Somerset Drive, Willingboro, NJ 08046
Fax
609-877-5129
Last updated
July 8, 2007

Minati Pattanayak is a Family Medicine based in Willingboro, NJ. Minati Pattanayak practices in Willingboro, NJ and has the professional credentials of MD, PC. The NPI Number for Minati Pattanayak is 1700971215 and holds a License No. MA41600 (NJ). The current practice location address for Minati Pattanayak is 89 Somerset Drive, Willingboro, NJ 08046 and can be reached out via phone at 609-877-4545 and via fax at 609-877-5129.

Provider Profile Details

NPI Number
1700971215
Provider Name
Minati Pattanayak
Credential
MD, PC
Provider Entity Type
Individual
Gender
Female
Address
89 Somerset Drive, Willingboro, NJ 08046
Phone Number
609-877-4545
Fax Number
609-877-5129
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Somerset Drive
Willingboro, NJ 08046
Zip
08046
Phone Number
609-877-4545
Fax Number
609-877-5129
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
89 Somerset Drive
Willingboro, NJ 08046
City
Willingboro
State
NJ
Zip
08046
Phone Number
609-877-4545
Fax Number
609-877-5129

License Information

License Number
MA41600
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Minati Pattanayak, MD, PC?

The NPI number of Dr. Minati Pattanayak, MD, PC is 1700971215. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Minati Pattanayak, MD, PC?

Dr. Minati Pattanayak, MD, PC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MA41600.

Where does Dr. Minati Pattanayak, MD, PC practice?

The practice location is 89 Somerset Drive, Willingboro, NJ 08046. The office can be reached at 609-877-4545 (phone) or 609-877-5129 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700971215 directly on the NPPES registry website.

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