Individual provider Active NPI

Sandeep Rathi, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lakewood, NJ
National Provider Identifier
1275723348
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5MA08611000 Issued in NJ
Practice address
1215 Route 70 Ste 1001
Lakewood, NJ 08701-6958
Phone
(732) 584-2400
Fax
(848) 305-6003
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5MA08611000 NJ Primary
Pain Medicine Physician 208VP0000X 25MA08611000 NJ

Addresses

Primary practice location

1215 Route 70 Ste 1001
Lakewood, NJ 08701-6958

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

35 S Gilbert St
Tinton Falls, NJ 07701-4954
Phone (732) 530-1515

Other practice location 2

1131 Broad St Ste 104
Ste 1001
Shrewsbury, NJ 07702-4334
Phone (732) 584-2400

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Sandeep.Rathi.1@21449.direct.athenahealth.com Direct Premier Brain and Spine, LLC
Other URL Sandeep.Rathi.1@21449.direct.athenahealth.com Direct Premier Brain and Spine, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000220 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1557434107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Suite A2
Voorhees, NJ 08043-3512
Phone (856) 566-8600

1131 Broad St
Suite 104
Shrewsbury, NJ 07702-4334
Phone (732) 691-4898

1215 Route 70
Suite 1001
Lakewood, NJ 08701-6958
Phone (732) 584-2400

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5MA08611000NJMDPhysical Medicine & Rehabilitation Physician
25MA08611000NJMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Spine and Pain CurrentSince Sep 1, 2020 Accepting new patients
Premier Brain and Spine LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2025 Accepting new patients
Premier Brain and Spine, LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2025 Accepting new patients

Locations

1215 Route 70
Ste 1001
Lakewood, NJ 08701
Phone (732) 584-2400

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

450 Shrewsbury PLZ
247
Shrewsbury, NJ 07702

1131 Broad St
Ste 104
Shrewsbury, NJ 07702
Phone (732) 691-4898

35 S Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-1515

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFCCD/Endpoint/FEFCCD
  • Direct secure messaging: sandeep.rathi.1@21449.direct.athenahealth.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1275723348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ROUTE 70 STE 1001",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016958",
            "telephone_number": "732-584-2400",
            "fax_number": "848-305-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 S Gilbert St",
            "address_purpose": "LOCATION",
            "city": "Tinton Falls",
            "state": "NJ",
            "postal_code": "077014954",
            "country_code": "US",
            "telephone_number": "732-530-1515",
            "fax_number": "732-345-6497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 Broad St Ste 104",
            "address_2": "Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024334",
            "country_code": "US",
            "telephone_number": "732-584-2400",
            "fax_number": "848-305-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHI",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "5MA08611000",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08611000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sandeep.Rathi.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1131 Broad St Ste 104",
            "city": "Shrewsbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077024334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sandeep.Rathi.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1215 Route 70 Ste 1001",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087016958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.