Individual provider Active NPI

Deepali Rahul Gade, PT

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
National Provider Identifier
1144801655
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
45555 Issued in NY
Practice address
31 New Dorp LN
Staten Island, NY 10306-2351
Phone
(718) 979-4466
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 45555 NY Primary

Addresses

Primary practice location

31 New Dorp LN
Staten Island, NY 10306-2351

Mailing address

55 Arlo Rd Apt 2B
Staten Island, NY 10301-4704
Phone (551) 214-6575

Other practice location 1

55 Arlo Rd Apt 2B
Staten Island, NY 10301-4704
Phone (551) 214-6575

Other names 1

  • Deepali Ganesh Nandeshwar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412001113 NY Practitioner - Physical Therapist in Private Practice 0042685679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Services LLCGroup PAC ID 1355395179, 226 clinicians
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

1844 2ND Ave
New York, NY 10128-3862
Phone (877) 407-3422

33 Richmond Hill Rd
Staten Island, NY 10314-5950
Phone (718) 982-6340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045555NYMDPharmacist
45555NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC CurrentSince Apr 3, 2023 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC CurrentSince Sep 1, 2025 Accepting new patients
One on One Physical Therapy Services PLLC Past Accepting new patients

Locations

981 US Highway 22
Bridgewater, NJ 08807
Phone (908) 231-0511

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

1551 Richmond Rd
Ste 1B
Staten Island, NY 10304

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

33 Richmond Hill Rd
Staten Island, NY 10314
Phone (718) 982-5358

1551 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-6500

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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1144801655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ARLO RD APT 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014704",
            "telephone_number": "551-214-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "718-979-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Arlo Rd Apt 2B",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103014704",
            "country_code": "US",
            "telephone_number": "551-214-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADE",
        "first_name": "DEEPALI",
        "middle_name": "RAHUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "45555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPALI",
            "last_name": "NANDESHWAR",
            "middle_name": "GANESH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.