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

Shraddha S Patel

Individual provider Physician Assistant · NPI 1205464724

Shraddha S Patel is a Physician Assistant in Princeton, New Jersey. Qualified in 2019, 7 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

29 Goldstar Dr
Princeton, NJ 08540-8578
Phone: (908) 458-7185
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00560900 (NJ)

Record details

NPI number1205464724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020
Mailing address29 Goldstar Dr, Princeton, NJ 08540-8578

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Princeton