Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Poonam C Patel, PA-C

Individual provider Physician Assistant · NPI 1720430622

Poonam C Patel, PA-C is a Physician Assistant in Lawrenceville, New Jersey. Qualified in 2015, 11 years ago. Practices with Premier Brain and Spine LLC, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
11
Licensed in
NJ, PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

123 Franklin Corner Rd Ste 114
Lawrenceville, NJ 08648-2526
Phone: (609) 512-1690
Fax: (609) 512-1674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00450200 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA058211 (PA)

Record details

NPI number1720430622
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Premier Brain And Spine Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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