Individual provider Active NPI

Janki R Patel

  • Physical Therapist
  • Paterson, NJ
National Provider Identifier
1477813111
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034906-1 Issued in NY
Practice address
93-95 Main Street
Paterson, NJ 07505
Phone
(973) 358-5500
Fax
(973) 358-5501
NPI assigned
May 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 034906-1 NY Primary

Addresses

Primary practice location

93-95 Main Street
Paterson, NJ 07505

Mailing address

614 Mola Blvd
Elmwood Park, NJ 07407-1343
Phone (973) 358-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110000145 NJ Practitioner - Physical Therapist in Private Practice 5496036212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gands PT LLCGroup PAC ID 5991049983, 2 clinicians

Practice addresses (Care Compare)

335 Passaic St
Passaic, NJ 07055-5818
Phone (973) 358-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034906-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Janak PT LLC Physical Therapist CurrentSince May 25, 2025 Accepting new patients
G&S PT LLC Physical Therapist CurrentSince Sep 21, 2018 Accepting new patients

Locations

335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500

92 Main St
Paterson, NJ 07505
Phone (973) 358-5500

Organizations & group practices 2

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": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1477813111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MOLA BLVD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071343",
            "telephone_number": "973-358-5500",
            "fax_number": "973-358-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93-95 MAIN STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-358-5500",
            "fax_number": "973-358-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JANKI",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2025-05-19",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.