Active NPI
Rajesh Chawla, RPT
- Specialist
- Newburgh, NY
National Provider Identifier
1063513166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 016095-1
- Practice address
- 1607 Route 300
Suite 102
Newburgh, NY 12550-1738 - Phone
- (845) 564-9853
- Fax
- (845) 564-6974
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 016095-1 | NY | Primary |
Addresses
Primary practice location
1607 Route 300
Suite 102
Newburgh, NY 12550-1738
Mailing address
1607 Route 300
Suite 102
Newburgh, NY 12550-1738
Phone (845) 564-9853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WEP 441 | Other | NY | WEP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016095-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc Sullivan County Chapter | Current | Accepting new patients | |
| Empress Ambulance Service LLC | Past | Accepting new patients | |
| Lifespire, Inc. | Past | Accepting new patients | |
| Lifespire, Inc. | Past | Accepting new patients |
Locations
28 Bull Rd
Campbell Hall, NY 10916
Phone (845) 427-2077
357 Mt Hope Rd
Middletown, NY 10940
Phone (845) 343-0871
162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350
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.
-
- Developmental Disabilities Clinic/Center
- Monticello, NY
- NPI 1609985571
-
- Ambulance
- Yonkers, NY
- NPI 1003878596
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
-
- Clinic/Center
- New York, NY
- NPI 1497709166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063513166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 ROUTE 300",
"address_2": "SUITE 102",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501738",
"telephone_number": "845-564-9853",
"fax_number": "845-564-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 ROUTE 300",
"address_2": "SUITE 102",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501738",
"telephone_number": "845-564-9853",
"fax_number": "845-564-6974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAWLA",
"first_name": "RAJESH",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "016095-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEP",
"identifier": "WEP 441",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.