Individual provider Active NPI

Kinjal H Patel, PHYSICAL THERAPIST

  • Physical Therapist
  • New York, NY
National Provider Identifier
1235726423
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040253 Issued in NJ
Practice address
111 Broadway RM 503
New York, NY 10006-1981
Phone
(212) 952-9355
Fax
(212) 952-9356
NPI assigned
Dec 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040253 NJ Primary

Addresses

Primary practice location

111 Broadway RM 503
New York, NY 10006-1981

Mailing address

111 Broadway RM 503
New York, NY 10006-1981
Phone (212) 952-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000294 NJ Practitioner - Physical Therapist in Private Practice 4486045051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaview Orthopaedics and Medical Associates LLPGroup PAC ID 7810983210, 97 clinicians
Varsha Pohuja LLCGroup PAC ID 8426346636, 43 clinicians

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

357 Buckelew Ave
Monroe, NJ 08831-2961
Phone (732) 521-1194

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040253NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Dec 1, 2021 Accepting new patients
Varsha Pohuja LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients

Locations

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

357 Buckelew Ave
Monroe Twp, NJ 08831
Phone (732) 521-1194

1200 Eagle Ave
Ocean, NJ 07712

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1235726423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROADWAY RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061981",
            "telephone_number": "212-952-9355",
            "fax_number": "212-952-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061981",
            "telephone_number": "212-952-9355",
            "fax_number": "212-952-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJAL",
        "middle_name": "H",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "040253",
            "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 Dec 22, 2020; 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.