Madhurani Prakash Mahajan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028520 Issued in NY

Practice address

1785 Forest Ave
Staten Island, NY 10303-2107

Phone

(646) 820-5669

Fax

(646) 368-8339

NPI assigned

Feb 23, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richmond Physical Therapy, PCGroup PAC ID 3577722727, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richmond Physical Therapy, PC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1053644153

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Freedom Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1871058990
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1285769588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032107",
            "telephone_number": "646-820-5669",
            "fax_number": "646-368-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032107",
            "telephone_number": "646-820-5669",
            "fax_number": "646-368-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103122025",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077473178",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "fax_number": "646-368-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "MADHURANI",
        "middle_name": "PRAKASH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03232079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan E Maguina, M.D.
• Alexandra Cristina Maguire
• Laurence Patrick Maguire IV, L.AC.
• Rayna L Maguire, M.S. ED
• Tricia Mahabir, D.O.
• Nakul Mahajan, MD
• Abini Mahalingam, PA
• Miriam N Mahana, OTRL
• Dalia Maher, PT
• Emily G Maher

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.