Individual provider Active NPI

Chandni Patel

  • Physical Therapist
  • Morris Plains, NJ
National Provider Identifier
1104257575
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01472600 Issued in NJ
Practice address
340 Speedwell Ave
Morris Plains, NJ 07950-2124
Phone
(973) 867-7875
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 40QA01472600 NJ Primary

Addresses

Primary practice location

340 Speedwell Ave
Morris Plains, NJ 07950-2124

Mailing address

2 Quail Run
Randolph, NJ 07869-2827
Phone (914) 316-5318

Other practice location 1

2 Quail Run
Randolph, NJ 07869-2827
Phone (914) 316-5318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140303000233 NJ Practitioner - Physical Therapist in Private Practice 6406086909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiology LLCGroup PAC ID 5597751735, 29 clinicians

Practice addresses (Care Compare)

340 Speedwell Ave
Morris Plains, NJ 07950-2124
Phone (973) 267-9899

Merit-based Incentive Payment System (MIPS)

Final score
55.5 of 100Reported as group
Quality
61.77
Promoting interoperability
0
Improvement activities
40
Cost
73.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology, LLC Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Mar 1, 2015 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

65 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (908) 979-1302

687 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 979-1302

340 Speedwell Ave
Morris Plains, NJ 07950
Phone (973) 267-9899

12 Lawrence Rd
Ste 101102
Newton, NJ 07860
Phone (973) 300-1302

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

225 State Route 10 E
Ste 202
Succasunna, NJ 07876
Phone (845) 863-3568

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.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1104257575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 QUAIL RUN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692827",
            "telephone_number": "914-316-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502124",
            "telephone_number": "973-867-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Quail Run",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "NJ",
            "postal_code": "078692827",
            "country_code": "US",
            "telephone_number": "914-316-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2022-09-12",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01472600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.