Active NPI
Rupal Ramkumar Yadav
- Physical Therapist
- Howard Beach, NY
National Provider Identifier
1316577281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045436
- Practice address
- 15144 82ND St
Howard Beach, NY 11414-1777 - Phone
- (714) 515-0760
- NPI assigned
- Jan 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0004111 | DE | |
| Physical Therapist | 225100000X | 045436 | NY | Primary |
Addresses
Primary practice location
15144 82ND St
Howard Beach, NY 11414-1777
Mailing address
276 Van Wagenen Ave
Jersey City, NJ 07306-5007
Phone (714) 515-0760
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 |
|---|---|---|---|
| J1-0004111 | DE | MD | Physical Therapist |
| 045436 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bukhman MD PC | Current | Accepting new patients | |
| Org Medical PLLC | Past | Accepting new patients |
Locations
5205 Church Ave
Brooklyn, NY 11203
Phone (718) 342-2500
902 Columbus Ave
New York, NY 10025
Phone (212) 749-5000
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1013025782
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1053583682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1316577281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 VAN WAGENEN AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065007",
"telephone_number": "714-515-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15144 82ND ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114141777",
"telephone_number": "714-515-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADAV",
"first_name": "RUPAL",
"middle_name": "RAMKUMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0004111",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.