Active NPI
Utpal M Panchal, PT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1033547344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034382
- Practice address
- 372 Avenue U
Suite LL3
Brooklyn, NY 11223-4018 - Phone
- (718) 372-1690
- Fax
- (718) 372-1691
- NPI assigned
- Oct 23, 2013
- Sex
- Male
- 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 | 034382 | NY | Primary |
Addresses
Primary practice location
372 Avenue U
Suite LL3
Brooklyn, NY 11223-4018
Mailing address
246 Clifton Ave
Clifton, NJ 07011-1900
Phone (862) 899-7900
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
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 Palisade Ave
Jersey City, NJ 07306-1112
Phone (201) 656-4324
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.04 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 55.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Disability Institute, P.C. | Current | Accepting new patients | |
| Ultra Comprehensive Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ambulatory Pain and Disability Management Center LLC | Current | Accepting new patients |
Locations
246 Clifton Ave
Clifton, NJ 07011
Phone (862) 899-7900
191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 656-4324
Organizations & group practices 3
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.
-
- Pain Medicine Physician
- Jersey City, NJ
- NPI 1306924725
-
- Physical Therapist
- Clifton, NJ
- NPI 1295271310
-
- Ambulatory Surgical Clinic/Center
- Jersey City, NJ
- NPI 1093311276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1033547344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111900",
"telephone_number": "862-899-7900",
"fax_number": "862-899-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 AVENUE U",
"address_2": "SUITE LL3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234018",
"telephone_number": "718-372-1690",
"fax_number": "718-372-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCHAL",
"first_name": "UTPAL",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-23",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034382",
"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 Jun 17, 2021; 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.