Active NPI
Kinjal H Patel, PHYSICAL THERAPIST
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040253
- 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
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 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
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
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 100
- Quality
- 42.79
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 68.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040253 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaview Orthopaedics & Medical Associates LLP | Current | Accepting new patients | |
| Varsha Pohuja LLC | Physical Therapist | Current | Accepting new patients |
| Seaview Orthopaedics & Medical Associates LLP | Physical Therapist | Current | 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.
-
- Orthopaedic Surgery Physician
- Ocean, NJ
- NPI 1982618757
Physical Therapist
-
- Orthopaedic Surgery Physician
- East Brunswick, NJ
- NPI 1356215867
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.