Individual provider Active NPI

Nishrin Muslim Ghadiali

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1396915286
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030026 Issued in NY
Practice address
598 Liberty Ave
Apt 2
Jersey City, NJ 07307-3911
Phone
(201) 628-6070
NPI assigned
Mar 6, 2008
Last updated
May 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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 030026 NY Primary

Addresses

Primary practice location

598 Liberty Ave
Apt 2
Jersey City, NJ 07307-3911

Mailing address

598 Liberty Ave
Apt 2
Jersey City, NJ 07307-3911
Phone (201) 628-6070

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
030026NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Foreverbloom ABA LLC Current Accepting new patients

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1396915286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 LIBERTY AVE",
            "address_2": "APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073911",
            "telephone_number": "201-628-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 LIBERTY AVE",
            "address_2": "APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073911",
            "telephone_number": "201-628-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADIALI",
        "first_name": "NISHRIN",
        "middle_name": "MUSLIM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030026",
            "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 May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.