PREM PATEL (DO) – Dermatology Physician, NPI 1891305710
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
453 DERMATOLOGY in NJ
Provider Addresses for PREM PATEL (DO)
7600 River Rd
North Bergen, NJ 070476217
Phone: (201) 710-2755
Type: Location
3 Erie Ct Ste L700
Oak Park, IL 603022519
Phone: (708) 763-1222
Fax: (708) 763-1471
Type: Location
555 31ST ST
DOWNERS GROVE, IL 605151235
Phone:
Type: Mailing
341 S BLACK HORSE PIKE STE B
BELLMAWR, NJ 080312307
Phone: (732) 447-7280
Type: Location
7600 RIVER RD
NORTH BERGEN, NJ 070476217
Phone: (201) 710-2755
Type: Location
701 E BALTIMORE PIKE
KENNETT SQUARE, PA 193482400
Phone: (888) 344-5776
Fax: (646) 665-3604
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $385.
Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GENZYME CORPORATION ($190).
Total Amount
$385
General + Research + Ownership
Payments
8
Total payment records
General Amount
$385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $190 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $153 |
| Incyte Corporation | $42 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250516000051 | I | Dermatology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | PA | |
| Dermatology, Plastic And Reconstructive Surgery | PA | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | PA | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | PA | |
| D E R M A T O L O G Y | PA |
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