Active NPI
Pritesh Manohar Patil
- Physical Therapist
- New York, NY
National Provider Identifier
1093264707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038768
- Practice address
- 506 Malcolm X Blvd,
Harlem Hospital
New York, NY 10037 - Phone
- (212) 939-1000
- NPI assigned
- Sep 23, 2016
- 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 | 038768 | NY | Primary |
Addresses
Primary practice location
506 Malcolm X Blvd,
Harlem Hospital
New York, NY 10037
Mailing address
52 Washburn St
Jersey City, NJ 07306-1713
Phone (607) 662-5326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038768 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1093264707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 WASHBURN ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061713",
"telephone_number": "607-662-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 MALCOLM X BLVD,",
"address_2": "HARLEM HOSPITAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10037",
"telephone_number": "212-939-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIL",
"first_name": "PRITESH",
"middle_name": "MANOHAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.