Individual provider Active NPI

Bhoomesh S Gohel

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1326829169
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051993 Issued in NY
Practice address
20 Beacon Way Apt 1104
Jersey City, NJ 07304-6136
Phone
(216) 688-5207
NPI assigned
Oct 9, 2023
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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 051993 NY Primary

Addresses

Primary practice location

20 Beacon Way Apt 1104
Jersey City, NJ 07304-6136

Mailing address

20 Beacon Way Apt 1104
Jersey City, NJ 07304-6136
Phone (216) 688-5207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411000090 NY Practitioner - Physical Therapist in Private Practice 5991143851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
051993NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Yourself Rehabilitation Physical and Occupational Therapy, PLLC Physical Therapist CurrentSince Feb 14, 2024 Accepting new patients

Locations

455 N End Ave
Bsmt
New York, NY 10282
Phone (646) 470-8615

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1326829169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BEACON WAY APT 1104",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073046136",
            "telephone_number": "216-688-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BEACON WAY APT 1104",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073046136",
            "telephone_number": "216-688-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHEL",
        "first_name": "BHOOMESH",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.

Verify at the official NPI Registry.