Individual provider Active NPI

Parth Shah, PT, DPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1033824222
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049129 Issued in NY
Practice address
1100 Clove Road
Suite GC
Staten Island, NY 10301
Phone
(718) 816-6500
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 049129 NY Primary

Addresses

Primary practice location

1100 Clove Road
Suite GC
Staten Island, NY 10301

Mailing address

1100 Clove Road
Suite GC
Staten Island, NY 10301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309000777 NY Practitioner - Physical Therapist in Private Practice 4688047863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
J. Lamendola Physical Therapy, P.C.Group PAC ID 6800141565, 13 clinicians

Practice addresses (Care Compare)

1100 Clove Rd
Apt GC
Staten Island, NY 10301-3632
Phone (718) 816-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J P L TLC 76 &3 Corp CurrentSince Mar 1, 2023 Accepting new patients
MFS Orthopedics PC CurrentSince Jan 29, 2023 Accepting new patients
J. Lamendola Physical Therapy, P.C. Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
William B. Head Jr. M.D. P.C. Past Accepting new patients

Locations

7524 3rd Ave
Brooklyn, NY 11209

236 Richmond Valley Rd
Ste 16
Staten Island, NY 10309

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1033824222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLOVE ROAD",
            "address_2": "SUITE GC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLOVE ROAD",
            "address_2": "SUITE GC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301",
            "telephone_number": "718-816-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PARTH",
        "name_prefix": "Dr.",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.