Individual ProviderJayanti D PatelPharmacistPharmacy Service ProvidersPractice Address1381 St.Nicholas Ave, New York, NY 10033(212) 928-7263(201) 930-9195PECOS EnrollmentBased on the most recent information from CMS, provider Jayanti D Patel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1740376664Provider TypeIndividualFull NamePatel, Jayanti DCredentialR.PH.GenderMaleSole ProprietorYesEnumeration Date10/5/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1381 St.Nicholas Ave, New York, NY 10033Phone(212) 928-7263Fax(212) 568-6411Mailing LocationMailing Address8 Williams Crest, Park Ridge, NJ 07656Phone(201) 930-9195Fax(212) 568-6411Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense032678New York