Individual provider Active NPI

Vaishnavi Chinchankar

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1003572181
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
107455502 Issued in NY
Practice address
280 Saint Pauls Ave FL 1
Jersey City, NJ 07306-5012
Phone
(201) 737-8933
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 107455502 NY Primary

Addresses

Primary practice location

280 Saint Pauls Ave FL 1
Jersey City, NJ 07306-5012

Mailing address

280 Saint Pauls Ave FL 1
Jersey City, NJ 07306-5012
Phone (201) 737-8933

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chinchankarvaishnavi@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107455502NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1003572181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SAINT PAULS AVE FL 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065012",
            "telephone_number": "201-737-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SAINT PAULS AVE FL 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065012",
            "telephone_number": "201-737-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINCHANKAR",
        "first_name": "VAISHNAVI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "107455502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chinchankarvaishnavi@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "280 Saint Pauls Ave Fl 1",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073065012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.