Active NPIIndividual provider

Poonam C Patel, PA-C

Physician Assistant in Lawrenceville, New Jersey

NPI Number1720430622
Practice location
123 Franklin Corner RD Ste 114, Lawrenceville, NJ 08648-2526
Fax
609-512-1674
Last updated
June 1, 2026

Poonam C Patel is a Physician Assistant based in Lawrenceville, NJ. Poonam C Patel practices in Lawrenceville, NJ and has the professional credentials of PA-C. The NPI Number for Poonam C Patel is 1720430622 and holds a License No. 25MP00450200 (NJ). The current practice location address for Poonam C Patel is 123 Franklin Corner RD Ste 114, Lawrenceville, NJ 08648-2526 and can be reached out via phone at 609-512-1690 and via fax at 609-512-1674.

Provider Profile Details

NPI Number
1720430622
Provider Name
Poonam C Patel
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
123 Franklin Corner RD Ste 114, Lawrenceville, NJ 08648-2526
Phone Number
609-512-1690
Fax Number
609-512-1674
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 5, 2016
Last Update Date
June 1, 2026
Certification Date
June 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Franklin Corner RD Ste 114
Lawrenceville, NJ 08648-2526
Zip
08648-2526
Phone Number
609-512-1690
Fax Number
609-512-1674
Lawrenceville, NJ 08648Get directions →

Provider Business Mailing Address Details

Address
90 Matawan RD Ste 302
Matawan, NJ 07747-2653
City
Matawan
State
NJ
Zip
07747-2653
Phone Number
732-441-7177
Fax Number
732-441-7165

License Information

License Number (1)
25MP00450200
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
MA058211
License State (2)
PA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X

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 Poonam C Patel, PA-C?

The NPI number of Poonam C Patel, PA-C is 1720430622. It was assigned on July 5, 2016 and is currently active in the NPPES registry.

What is the specialty of Poonam C Patel, PA-C?

Poonam C Patel, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00450200.

Where does Poonam C Patel, PA-C practice?

The practice location is 123 Franklin Corner RD Ste 114, Lawrenceville, NJ 08648-2526. The office can be reached at 609-512-1690 (phone) or 609-512-1674 (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 1720430622 directly on the NPPES registry website.

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