Active NPI
Suruch Rashmikant Patel
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02330500
- Practice address
- 116 E 125TH St
New York, NY 10035-1612 - Phone
- (212) 426-1284
- NPI assigned
- Sep 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044341 | NY | |
| Physical Therapist | 225100000X | 40QA02330500 | NJ | Primary |
Addresses
Primary practice location
116 E 125TH St
New York, NY 10035-1612
Mailing address
169A Beacon Ave
Jersey City, NJ 07306-2567
Phone (214) 606-4154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02330500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esd PT OT & SLP PLLC | Physical Therapist | Current | Accepting new patients |
| Prohealth and Fitness PT OT PLLC | Physical Therapist | Current | Accepting new patients |
| Opportunity Project, Inc. | Physical Therapist | Current | Accepting new patients |
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Physical Therapist | Current | Accepting new patients |
| Prohealth and Fitness PT OT PLLC | Physical Therapist | Current | Accepting new patients |
| Proactive PT LLC | Physical Therapist | Current | Accepting new patients |
Locations
60 E Willow St
Millburn, NJ 07041
Phone (973) 921-1000
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080
1110 2nd Ave
Rm 302
New York, NY 10022
Phone (212) 842-0080
150 W End Ave
Apt 1M
New York, NY 10023
Phone (212) 496-2600
Organizations & group practices 6
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1003383308
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
NJ
-
- Physical Therapist
- New York, NY
- NPI 1124344650
-
- Speech-Language Pathologist
- Millburn, NJ
- NPI 1013110923
Physical Therapist
-
- Physical Therapist
- Bronx, NY
- NPI 1063281145
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1508160581
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1124635859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169A BEACON AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062567",
"telephone_number": "214-606-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100351612",
"telephone_number": "212-426-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SURUCH",
"middle_name": "RASHMIKANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-27",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044341",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02330500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.