Active NPI
Akshaykumar Patel
- Physical Therapist
- Passaic, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01826200
- Practice address
- 335 Passaic St
Passaic, NJ 07055-5818 - Phone
- (973) 358-5500
- Fax
- (973) 358-5501
- NPI assigned
- Nov 22, 2016
- Last updated
- Jan 13, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.022982 | IL | |
| Physical Therapist | 225100000X | J1-0003603 | DE | |
| Physical Therapist | 225100000X | 041468 | NY | |
| Physical Therapist | 225100000X | 40QA01826200 | NJ | Primary |
Addresses
Primary practice location
335 Passaic St
Passaic, NJ 07055-5818
Mailing address
3420 Birch LN
Naperville, IL 60564-1185
Phone (224) 436-5995
Other practice location 1
91 Main St
Paterson, NJ 07505-1026
Phone (973) 358-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
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
Practice addresses (Care Compare)
335 Passaic St
Passaic, NJ 07055-5818
Phone (973) 358-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0003603 | DE | MD | Physical Therapist |
| 070.022982 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G&S PT LLC | Physical Therapist | Current | Accepting new patients |
| Janak PT LLC | Physical Therapist | Past | Accepting new patients |
Locations
335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500
91 Main St
Paterson, NJ 07505
Phone (973) 358-5500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Paterson, NJ
- NPI 1467960526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1114460219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 BIRCH LN",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605641185",
"telephone_number": "224-436-5995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 PASSAIC ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555818",
"telephone_number": "973-358-5500",
"fax_number": "973-358-5501"
}
],
"practiceLocations": [
{
"address_1": "91 Main St",
"address_purpose": "LOCATION",
"city": "Paterson",
"state": "NJ",
"postal_code": "075051026",
"country_code": "US",
"telephone_number": "973-358-5500",
"fax_number": "973-358-5501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "AKSHAYKUMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-22",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.022982",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003603",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041468",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01826200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
- Passaic Pharmacy and Medical Supplies LLC (VivaMed Pharmacy & Medical Supplies)
- Passaic Pharmacy Inc (Tonys Pharmacy)
- Passaic Primary Care Physicians LLC
- Passaic Vision Care, P.C
- Passaic Vision Center ,LLC.
- Milan D Patel, M.D.
- Mukesh R Patel, RPH
- Nileshkumar Patel
- Shreya Patel
- Smita Girish Patel, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.