NPIMap

Organization Active NPI

Bergenfield Physical Therapy & Rehab Center LLC

Doing business as Bergenfield Physical Therapy & Rehab Center

  • Physical Therapy Clinic/Center
  • Bergenfield, NJ
National Provider Identifier
1366093973
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BERGENFIELD PHYSICAL THERAPY & REHAB CENTER LLC
Doing business as
Bergenfield Physical Therapy & Rehab Center
Practice address
253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739
Phone
(201) 338-4053
NPI assigned
Sep 25, 2019
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. Shalin B. Patel, DC
Title
Owner
Phone
(516) 708-3182

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739

Mailing address

253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739
Phone (201) 338-4053

Other names 1

  • Bergenfield Physical Therapy & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108000687 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6709211394 Receives reassigned benefits from 32 practitioners
Practice locations: Bergenfield, NJ

National Provider Directory

National Provider Directory

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1366093973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 S WASHINGTON AVE STE 1A",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213739",
            "telephone_number": "201-338-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 S WASHINGTON AVE STE 1A",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213739",
            "telephone_number": "201-338-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGENFIELD PHYSICAL THERAPY & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHALIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-708-3182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergenfield Physical Therapy & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.