Individual ProviderJiten PatelEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address101 Nicolls Rd Hsc L-4 Rm 050, Stony Brook, NY 11794(631) 444-3880PECOS EnrollmentBased on the most recent information from CMS, provider Jiten Patel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1184208746Provider TypeIndividualFull NamePatel, JitenCredentialMDGenderMaleSole ProprietorYesEnumeration Date5/10/2021Last Updated6/25/2025Contact InformationPractice LocationPractice Address101 Nicolls Rd Hsc L-4 Rm 050, Stony Brook, NY 11794Phone(631) 444-3880FaxUnlisted FaxMailing LocationMailing Address101 Nicolls Rd Hsc L-4 Rm 050, Stony Brook, NY 11794Phone(631) 444-3880FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMD488932PennsylvaniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer