Active NPI
Vedant Baliga
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1386259224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045708
- Practice address
- 970 Bard Ave
Staten Island, NY 10301-3322 - Phone
- (517) 402-0289
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 045708 | NY | Primary |
Addresses
Primary practice location
970 Bard Ave
Staten Island, NY 10301-3322
Mailing address
48 Manor Cres
New Brunswick, NJ 08901-1683
Phone (469) 901-9654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1386259224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MANOR CRES",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011683",
"telephone_number": "469-901-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 BARD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013322",
"telephone_number": "517-402-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALIGA",
"first_name": "VEDANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.