Individual provider Active NPI

Shikha Goenka

  • Physical Therapist
  • Union City, NJ
National Provider Identifier
1033529516
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037178 Issued in NY
Practice address
543 45TH St
Union City, NJ 07087-2615
Phone
(201) 662-5437
Fax
(201) 662-7195
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 037178 NY Primary

Addresses

Primary practice location

543 45TH St
Union City, NJ 07087-2615

Mailing address

3096 12TH St
Apt 4
Astoria, NY 11102-4036
Phone (207) 735-7051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002348 NJ Practitioner - Physical Therapist in Private Practice 9032517529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Relief Center PAGroup PAC ID 5890785562, 3 clinicians

Practice addresses (Care Compare)

543 45TH St
Union City, NJ 07087-2615
Phone (201) 662-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037178NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Center PA CurrentSince Jun 3, 2024 Accepting new patients
Hudson Family Chiropractic LLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Premium Laser Ophthalmology LLC PastSince Sep 15, 2021 Accepting new patients
Ny Neurological Consultant, PC PastSince Sep 15, 2021 Accepting new patients

Locations

51 Newark St
Ste 203
Hoboken, NJ 07030
Phone (201) 656-5600

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_premiumlaseroph
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDJAA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1033529516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 12TH ST",
            "address_2": "APT 4",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024036",
            "telephone_number": "207-735-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 45TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872615",
            "telephone_number": "201-662-5437",
            "fax_number": "201-662-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOENKA",
        "first_name": "SHIKHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.

Verify at the official NPI Registry.