Nehal Ashish Sevak, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00151900 Issued in NJ

Practice address

162 Knickerbocker Rd
Demarest, NJ 07627-1033

Phone

(201) 768-2200

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Board of Education Northern Valley Regional High School District

  • Local Education Agency (LEA)
  • Demarest, NJ
  • NPI 1447714902
  NPD (past)

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1235906595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 STUART ST",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524519",
            "telephone_number": "917-991-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 KNICKERBOCKER RD",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076271033",
            "telephone_number": "201-768-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVAK",
        "first_name": "NEHAL",
        "middle_name": "ASHISH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00151900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian F. Olsen, ED.D.
• Renelle Velez Pinos
• Helen Selvarani Richards, M.D.
• S T Ibrahim Medical P.C
• Julian Villarosa Santa Maria
• Gad Shachar
• Dennis Gary Shulman, PH.D.
• Ira B Siegel, MD SCD
• Sonal Modi PT Inc
• Lisa Ann Sonzogni, APN

• Physical Therapy Assistant in Demarest, NJ
• Providers in Demarest, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.