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

Shivani Patel

Individual provider Nurse Practitioner · NPI 1396339990

Shivani Patel is a Nurse Practitioner in Delran, New Jersey. Qualified in 2020, 6 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
6
Licensed in
NJ, PA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

8008 Route 130 Ste 120
Delran, NJ 08075-1869
Phone: (844) 542-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ01115000 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence SP023181 (PA)

Record details

NPI number1396339990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 5, 2022
Certification dateFebruary 5, 2022
Mailing address400 Laurel Oak Rd Ste 105, Voorhees, NJ 08043-4455

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services