Active NPI
Meher P Daruwalla
- Physical Therapist
- South Richmond Hill, NY
National Provider Identifier
1265158299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049522
- Practice address
- 11515 101St Ave
South Richmond Hill, NY 11419-1247 - Phone
- (718) 441-5333
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 049522 | NY | Primary |
Addresses
Primary practice location
11515 101St Ave
South Richmond Hill, NY 11419-1247
Mailing address
87 Half Laidlaw Ave
Apt 2
Jersey City, NJ 07306-2145
Phone (201) 706-1206
Other practice location 1
87 Half Laidlaw Ave
Apt 2
Jersey City, NJ 07306-2145
Phone (201) 706-1206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049522 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esd PT OT & SLP PLLC | Physical Therapist | Current | Accepting new patients |
| Heartshare | Past | Accepting new patients |
Locations
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
Organizations & group practices 2
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
- Brooklyn, NY
- NPI 1003383308
-
- Early Intervention Provider Agency
- South Richmond Hill, NY
- NPI 1801264635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1265158299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 HALF LAIDLAW AVE",
"address_2": "APT 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062145",
"telephone_number": "201-706-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11515 101ST AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191247",
"telephone_number": "718-441-5333"
}
],
"practiceLocations": [
{
"address_1": "87 Half Laidlaw Ave",
"address_2": "Apt 2",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073062145",
"country_code": "US",
"telephone_number": "201-706-1206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARUWALLA",
"first_name": "MEHER",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.