Individual provider Active NPI

Urviben Niketan Tewar, PT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1295265817
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
079610 Issued in IA
Practice address
620 Cranbury Rd Ste 201
East Brunswick, NJ 08816-4000
Phone
(732) 257-0900
Fax
(732) 257-5099
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 079610 IA Primary

Addresses

Primary practice location

620 Cranbury Rd Ste 201
East Brunswick, NJ 08816-4000

Mailing address

620 Cranbury Rd Ste 201
East Brunswick, NJ 08816-4000
Phone (732) 257-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001002314 NJ Practitioner - Physical Therapist in Private Practice 6608106851 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

620 Cranbury Rd
East Brunswick, NJ 08816-4000
Phone (732) 257-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079610IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince May 26, 2020 Accepting new patients
Shalom Therapeutic Services LLC CurrentSince Nov 5, 2020 Accepting new patients
Range of Motion & Pelvic Physical Therapy Physical Therapist CurrentSince Jul 6, 2022 Accepting new patients

Locations

2245 US Highway 130
Ste 105
Dayton, NJ 08810
Phone (732) 230-3205

620 Cranbury Rd
Ste 201
East Brunswick, NJ 08816
Phone (732) 257-0900

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1295265817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD STE 201",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164000",
            "telephone_number": "732-257-0900",
            "fax_number": "732-257-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD STE 201",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164000",
            "telephone_number": "732-257-0900",
            "fax_number": "732-257-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWAR",
        "first_name": "URVIBEN",
        "middle_name": "NIKETAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "079610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.