Active NPI
Srishti Bajaj, PT, DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1013462167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040336
- Practice address
- 150 55TH St
Station 3-05
Brooklyn, NY 11220-2508 - Phone
- (718) 630-8214
- Fax
- (718) 630-7604
- NPI assigned
- Aug 18, 2016
- 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 | 040336 | NY | Primary |
Addresses
Primary practice location
150 55TH St
Station 3-05
Brooklyn, NY 11220-2508
Mailing address
635 Park Rd
Morris Plains, NJ 07950-2833
Phone (845) 416-4476
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
| License | State | Type | Specialty |
|---|---|---|---|
| 040336 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1013462167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 PARK RD",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "079502833",
"telephone_number": "845-416-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 55TH ST",
"address_2": "STATION 3-05",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202508",
"telephone_number": "718-630-8214",
"fax_number": "718-630-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJAJ",
"first_name": "SRISHTI",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.