Active NPI
Mandakini Dhirubhai Desai, RPT
- Physical Therapist
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032867
- Practice address
- 292 Saint Pauls Ave FL 2
Jersey City, NJ 07306-5009 - Phone
- (217) 619-3025
- Fax
- (718) 463-8880
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032867 | NY | Primary |
Addresses
Primary practice location
292 Saint Pauls Ave FL 2
Jersey City, NJ 07306-5009
Mailing address
292 Saint Pauls Ave FL 2
Jersey City, NJ 07306-5009
Phone (217) 619-3025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032867 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Temple University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 -01 Broadway
Suite 12
Fair Lawn, NJ 07410-6018
Phone (201) 355-5199
408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Therapy, LLC | Current | Accepting new patients | |
| Holsman Physical Therapy and Wellness PC | Current | Accepting new patients | |
| Holsman Physical Therapy and Rehabilitation PC | Physical Therapist | Current | Accepting new patients |
| Holsman Physical and Occupational Therapy PC | Physical Therapist | Current | Accepting new patients |
| Holsman Physical and Occupational Therapy, PC | Current | Accepting new patients |
Locations
408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732
1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901
1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565
15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199
711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555
1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Physical Therapist
- Rahway, NJ
- NPI 1114276441
-
- Geriatric Physical Therapist
- Cedar Grove, NJ
- NPI 1578816179
-
- Geriatric Physical Therapist
- Clifton, NJ
- NPI 1629350467
-
- Geriatric Physical Therapist
- Clifton, NJ
- NPI 1295962835
-
- Physical Therapist
- Rahway, NJ
- NPI 1659079069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1003194077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 SAINT PAULS AVE FL 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065009",
"telephone_number": "217-619-3025",
"fax_number": "718-463-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 SAINT PAULS AVE FL 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065009",
"telephone_number": "217-619-3025",
"fax_number": "718-463-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "MANDAKINI",
"middle_name": "DHIRUBHAI",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "032867",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.