Active NPI
Deepali Rahul Gade, PT
- Physical Medicine & Rehabilitation Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 45555
- 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
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 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045555 | NY | MD | Pharmacist |
| 45555 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Current | Accepting new patients | |
| Fox Rehabilitation Physical Therapy Services LLC | Current | 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.
-
- Physical Therapist
- New York, NY
- NPI 1174560650
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
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.