Individual provider Active NPI

Yogini Mavani, DO

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
National Provider Identifier
1326233040
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MB08207400 Issued in NJ
Practice address
50 Harrison St
Ste 212F
Hoboken, NJ 07030-6087
Phone
(201) 484-8950
Fax
(201) 484-8952
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MB08207400 NJ Primary

Addresses

Primary practice location

50 Harrison St
Ste 212F
Hoboken, NJ 07030-6087

Mailing address

50 Harrison St Ste 212F
Hoboken, NJ 07030-6087
Phone (917) 412-3423

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yogi@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071023000315 NJ Practitioner - Physical Medicine and Rehabilitation 4789770694 Reassigns benefits to 1 organization
Practice locations: Hoboken, NJ; West Caldwell, NJ; Rahway, NJ; Orange, NJ; Newark, NJ; Matawan, NJ; Jersey City, NJ; Irvington, NJ…
I20231207002530 PA Practitioner - Physical Medicine and Rehabilitation 4789770694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yes Wellness PAGroup PAC ID 2062756166, 6 clinicians

Practice addresses (Care Compare)

50 Harrison St
Suite 212F
Hoboken, NJ 07030-6087
Phone (201) 484-8950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
65.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08207400NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yes Wellness PA Physical Medicine & Rehabilitation CurrentSince Nov 13, 2018 Accepting new patients
Aspen Medical Associates, LLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

205 Birchwood Ave
Cranford, NJ 07016
Phone (908) 272-6660

101 N Grove St
East Orange, NJ 07017
Phone (973) 672-1700

50 Harrison St
Ste 212F
Hoboken, NJ 07030
Phone (201) 484-8950

155 40th St
Irvington, NJ 07111
Phone (201) 422-2556

178-198 Ogden Ave
Jersey City, NJ 07307
Phone (201) 216-9500

38 Freneau Ave
Matawan, NJ 07747
Phone (732) 765-5600

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

300 Broadway
Newark, NJ 07104
Phone (973) 484-4222

135 S Center St
Orange, NJ 07050
Phone (973) 266-3000

1777 Lawrence St
Rahway, NJ 07065
Phone (732) 396-1298

6401 Martins Mill Rd
Philadelphia, PA 19111
Phone (215) 697-8000

Interoperability endpoints

  • Direct secure messaging: yogi@direct.practicefusion.com

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.

Hospital & facility affiliations 2

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1326233040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HARRISON ST STE 212F",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306087",
            "telephone_number": "917-412-3423",
            "fax_number": "201-484-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HARRISON ST",
            "address_2": "STE 212F",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306087",
            "telephone_number": "201-484-8950",
            "fax_number": "201-484-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVANI",
        "first_name": "YOGINI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08207400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yogi@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "50 HARRISON ST",
            "address_2": "STE 212F",
            "city": "HOBOKEN",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070306087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.