Individual provider Active NPI

Aishwarya Parab

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1396381836
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044121 Issued in NY
Practice address
550 Newark Ave Ste 307
Jersey City, NJ 07306-1353
Phone
(212) 418-9111
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02004700 NJ
Physical Therapist 225100000X 044121 NY Primary

Addresses

Primary practice location

550 Newark Ave Ste 307
Jersey City, NJ 07306-1353

Mailing address

550 Newark Ave Ste 307
Jersey City, NJ 07306-1353
Phone (201) 418-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427000047 NJ Practitioner - Physical Therapist in Private Practice 5698183952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

4706 Bergenline Ave
Union City, NJ 07087-5112
Phone (201) 574-7770

5665 JFK Boulevard
Suite 7
North Bergen, NJ 07047-3223
Phone (973) 692-6400

634 Summit Ave
Jersey City, NJ 07306-3705
Phone (551) 355-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02004700NJMDPhysical Therapist
044121NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Garden State Cardiology LLC CurrentSince Apr 1, 2021 Accepting new patients
Advanced Ortho & Pain Center Inc Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

550 Newark Ave
Ste 304
Jersey City, NJ 07306
Phone (201) 222-1400

550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111

433 60th St
Fl 1
West New York, NJ 07093
Phone (201) 770-9995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1396381836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061353",
            "telephone_number": "201-418-9111",
            "fax_number": "201-839-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061353",
            "telephone_number": "212-418-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAB",
        "first_name": "AISHWARYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02004700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044121",
            "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 Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.