Active NPI
Chirag Thakkar
- Physical Therapist
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047291
- Practice address
- 6860 Austin St Ste 307
Forest Hills, NY 11375-4223 - Phone
- (718) 880-1716
- NPI assigned
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 047291 | NY | Primary |
Addresses
Primary practice location
6860 Austin St Ste 307
Forest Hills, NY 11375-4223
Mailing address
16130 84TH Ave
Jamaica, NY 11432-1727
Phone (646) 709-1534
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Livingston St
Brooklyn, NY 11201-5811
Phone (718) 522-3399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047291 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients |
Locations
425 Westchester Ave
Bronx, NY 10455
Phone (347) 343-0568
770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399
827 11th Ave
New York, NY 10019
Phone (212) 257-9778
2315 3rd Ave
New York, NY 10035
Phone (212) 369-5566
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1093384778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16130 84TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321727",
"telephone_number": "646-709-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6860 AUSTIN ST STE 307",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754223",
"telephone_number": "718-880-1716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "CHIRAG",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.