SUJAL P PATEL MD
NPI 1467748301
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Glen Rock, NJ

NPI Status: Active since June 20, 2011

Contact Information

85 HARRISTOWN RD STE 103
GLEN ROCK, NJ
ZIP 07452
Phone: (844) 366-8800

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Orthopaedic Surgery of the Spine
  • PECOS Enrolled
  • Opted-Out Medicare

About SUJAL PATEL

This page provides the complete NPI Profile along with additional information for Sujal Patel, a provider established in Glen Rock, New Jersey with a medical specialization in Orthopaedic Surgery, focusing in orthopaedic surgery of the spine . The healthcare provider is registered in the NPI registry with number 1467748301 assigned on June 2011. The practitioner's primary taxonomy code is 207XS0117X with license number 25MA09765600 (NJ). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1467748301
Provider Name
SUJAL P PATEL MD
Gender
Male
Entity Type
Individual
Location Address
85 HARRISTOWN RD STE 103 GLEN ROCK, NJ 07452
Location Phone
(844) 366-8800
Mailing Address
85 HARRISTOWN RD STE 103 GLEN ROCK, NJ 07452
Mailing Phone
(844) 366-8800
Is Sole Proprietor?
Yes
Enumeration Date
06-20-2011
Last Update Date
05-21-2018
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Sujal Patel opted out of Medicare effective on 11-04-2020 until 11-04-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 703 Main St
    Paterson, NJ 07503
    (973) 879-9389

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Orthopaedic Surgery of the Spine

Taxonomy Code
207XS0117X
Type
Allopathic & Osteopathic Physicians
License No.
25MA09765600
License State
NJ
Taxonomy Description
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Medicare Participation & PECOS Enrollment Status

Sujal Patel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 11-04-2020

  • Opt-Out End Date: 11-04-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467748301, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 4 + 4 + 1 + 6 + 3 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1467748301.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467748301, enumerated as an "individual" on June 20, 2011.

The provider is located at 85 HARRISTOWN RD STE 103 GLEN ROCK, NJ 07452 and the phone number is (844) 366-8800.

Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.