Individual provider Active NPI

Dynaben Patel

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1407339831
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01715200 Issued in NJ
Practice address
27 Spruce St FL 3
Jersey City, NJ 07306-3520
Phone
(201) 912-1387
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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 40QA01715200 NJ Primary

Addresses

Primary practice location

27 Spruce St FL 3
Jersey City, NJ 07306-3520

Mailing address

27 Spruce St FL 3
Jersey City, NJ 07306-3520
Phone (201) 912-1387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018001389 NJ Practitioner - Physical Therapist in Private Practice 3476805565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Comprehensive Physical Therapy LLCGroup PAC ID 9537446570, 13 clinicians

Practice addresses (Care Compare)

246 Clifton Ave
Clifton, NJ 07011-1900
Phone (862) 899-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Comprehensive Physical Therapy LLC Physical Therapist CurrentSince Jun 3, 2021 Accepting new patients
Hand in Hand Rehab LLC Physical Therapist CurrentSince Jul 20, 2022 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Jan 25, 2025 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Apr 28, 2025 Accepting new patients

Locations

515 Brick Blvd
Brick, NJ 08723
Phone (732) 800-6015

246 Clifton Ave
Ste 5
Clifton, NJ 07011
Phone (862) 899-7900

246 Clifton Ave
Clifton, NJ 07011
Phone (862) 899-7900

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

120 N Center Dr
North Brunswick, NJ 08902
Phone (732) 491-6547

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 4

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1407339831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SPRUCE ST FL 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063520",
            "telephone_number": "201-912-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SPRUCE ST FL 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063520",
            "telephone_number": "201-912-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DYNABEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01715200",
            "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 Sep 11, 2018; 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.