Individual provider Active NPI

Hiral Chaudhari, PT

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1073038345
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041928 Issued in NY
Practice address
157 1/2 Terrace Ave FL 2
Jersey City, NJ 07307-4154
Phone
(216) 924-3935
NPI assigned
Aug 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 010815 NY
Physical Therapist 225100000X 041928 NY Primary

Addresses

Primary practice location

157 1/2 Terrace Ave FL 2
Jersey City, NJ 07307-4154

Mailing address

157 1/2 Terrace Ave FL 2
Jersey City, NJ 07307-4154
Phone (216) 924-3935

Other practice location 1

123 Beach St
Jersey City, NJ 07307-4226
Phone (216) 924-3935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331000167 NJ Practitioner - Physical Therapist in Private Practice 1557601168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

5665 JFK Boulevard
Suite 7
North Bergen, NJ 07047-3223
Phone (973) 692-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041928NYMDPhysical Therapist
010815NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Rehab Experts LLC Physical Therapist CurrentSince Oct 5, 2021 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Jul 30, 2024 Accepting new patients
Rebalance Physical Therapy and Wellness LLC Physical Therapist Current Accepting new patients
Mount Prospect Chiropractice Center Physical Therapist CurrentSince Dec 12, 2020 Accepting new patients
Refit Physical Restoration LLC Physical Therapist Past Accepting new patients

Locations

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

610 Washington Blvd
Jersey City, NJ 07310
Phone (201) 222-1266

600 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 485-2332

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073038345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 1/2 TERRACE AVE FL 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074154",
            "telephone_number": "216-924-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 1/2 TERRACE AVE FL 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074154",
            "telephone_number": "216-924-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Beach St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073074226",
            "country_code": "US",
            "telephone_number": "216-924-3935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "HIRAL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010815",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.