Karan Patel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02009700 Issued in NJ

Practice address

208 Harristown Rd Ste LL1
Glen Rock, NJ 07452-3308

Phone

(201) 613-2773

NPI assigned

Jun 11, 2021

Reactivated

Aug 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Progressive Spine & Orthopaedics, LLC

  • Physical Medicine & Rehabilitation Physician
  • Glen Rock, NJ
  • NPI 1013598150

  Physical Therapist

  Medicare reassignment NPD
• KP PT & Wellness LLC

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1649901539
  NPD Authorized official
• Progressive Spine & Orthopaedics, LLC

  • Physical Therapist
  • Perth Amboy, NJ
  • NPI 1801222476
  NPD
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1144898735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEADOWVIEW TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105930",
            "telephone_number": "201-289-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HARRISTOWN RD STE LL1",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523308",
            "telephone_number": "201-613-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KARAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "deactivation_date": "2021-07-21",
        "reactivation_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02009700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Associates of New Jersey
• Lyndsay Joan Pace, LSW
• Mayuri Ashok Panchal
• Virahi Parikh
• Sool Lip Park
• Sujal P Patel, MD
• Vishnu G Patel, PHARMD
• Patient Care Solutions Inc
• Alexander Pedicone, LCSW
• Holly C Pedicone, LCSW

• Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.

Verify at the official NPI Registry.