Individual provider Active NPI

Manshi V Patel

  • Occupational Therapist
  • East Brunswick, NJ
National Provider Identifier
1427692565
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00888100 Issued in NJ
Practice address
620 Cranbury Rd Ste 201
East Brunswick, NJ 08816-4000
Phone
(732) 257-0900
Fax
(732) 257-5099
NPI assigned
Nov 1, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00888100 NJ Primary

Addresses

Primary practice location

620 Cranbury Rd Ste 201
East Brunswick, NJ 08816-4000

Mailing address

PO Box 101
Suwanee, GA 30024-0101
Phone (833) 888-7868

Other practice location 1

224 Route 130
Dayton, NJ 08810-0881
Phone (732) 230-3205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211001728 NJ Practitioner - Occupational Therapist in Private Practice 6709219413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Therapeutic Services LLC PastSince Nov 5, 2020 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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1427692565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240101",
            "telephone_number": "833-888-7868",
            "fax_number": "833-888-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CRANBURY RD STE 201",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164000",
            "telephone_number": "732-257-0900",
            "fax_number": "732-257-5099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Route 130",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "NJ",
            "postal_code": "088100881",
            "country_code": "US",
            "telephone_number": "732-230-3205",
            "fax_number": "732-230-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANSHI",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00888100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.