Active NPI
Bhavin Gunvant Patel, P.T.
- Physical Therapist
- Paterson, NJ
National Provider Identifier
1124324728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01444600
- Practice address
- 680 Broadway
Paterson, NJ 07514-1524 - Phone
- (973) 754-0999
- NPI assigned
- Jan 31, 2011
- 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 | 40QA01444600 | NJ | Primary |
Addresses
Primary practice location
680 Broadway
Paterson, NJ 07514-1524
Mailing address
18 Lowry CT Apt C
Clifton, NJ 07012-3336
Phone (201) 668-0535
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01444600 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1124324728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LOWRY CT APT C",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070123336",
"telephone_number": "201-668-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141524",
"telephone_number": "973-754-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BHAVIN",
"middle_name": "GUNVANT",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-31",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01444600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.