Individual provider Active NPI

Drashti Pandya

  • Physical Therapist
  • Bayonne, NJ
National Provider Identifier
1114666989
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
864 Broadway
Bayonne, NJ 07002-3054
Phone
(732) 593-9295
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 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 Primary

Addresses

Primary practice location

864 Broadway
Bayonne, NJ 07002-3054

Mailing address

62 S Calder Way
Phoenixville, PA 19460-5618

Other identifiers 1

IdentifierTypeStateIssuer
40QA02086900OtherNEW JERSEY BOARD OF CONSUMER AFFAIRS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drashti@njrehabexperts.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829000405 NJ Practitioner - Physical Therapist in Private Practice 9032593835 Reassigns benefits to 3 organizations

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
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

188 Passaic St
Passaic, NJ 07055-6455
Phone (862) 899-8890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Prospect Chiropractice Center Physical Therapist CurrentSince Sep 21, 2022 Accepting new patients
New Jersey Rehab Experts LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients

Locations

864 Broadway
Bayonne, NJ 07002
Phone (201) 339-1109

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

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 3

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1114666989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 S CALDER WAY",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023054",
            "telephone_number": "732-593-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "DRASHTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD OF CONSUMER AFFAIRS",
            "identifier": "40QA02086900",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drashti@njrehabexperts.com",
            "affiliation": "N",
            "address_1": "864 Broadway",
            "city": "Bayonne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070023054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.