Individual provider Active NPI

Neeraja Punit Suryawanshi

  • Physical Therapist
  • Roslyn, NY
National Provider Identifier
1447702576
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037461 Issued in NY
Practice address
55 Lumber Rd Ste 105
Roslyn, NY 11576-3308
Phone
(516) 395-1674
NPI assigned
Oct 24, 2016
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 037461 NY Primary

Addresses

Primary practice location

55 Lumber Rd Ste 105
Roslyn, NY 11576-3308

Mailing address

15 Main Pkwy
Plainview, NY 11803-2127
Phone (516) 395-1674

Other names 1

  • Neeraja Sudhir Wadodkar Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essence Physical Therapy PLLC Physical Therapist CurrentSince Jul 30, 2025 Accepting new patients
Jill E Smith OT PLLC Physical Therapist PastSince Oct 15, 2016 Accepting new patients
Lakshmi PT OT SLP Massage Consultants PLLC Physical Therapist Past Accepting new patients

Locations

366 N Broadway
Ste 413
Jericho, NY 11753
Phone (516) 433-4242

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, 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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1447702576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAIN PKWY",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032127",
            "telephone_number": "516-395-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LUMBER RD STE 105",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763308",
            "telephone_number": "516-395-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYAWANSHI",
        "first_name": "NEERAJA",
        "middle_name": "PUNIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEERAJA",
            "last_name": "WADODKAR",
            "middle_name": "SUDHIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.