Active NPI
Sandip G Patel, PT
- Physical Therapist
- Edison, NJ
National Provider Identifier
1497767404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 016976
- Practice address
- 1655 Oak Tree Rd
Ste 295a
Edison, NJ 08820-2849 - Phone
- (732) 902-6910
- Fax
- (732) 902-6911
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 016976 | NY | Primary |
Addresses
Primary practice location
1655 Oak Tree Rd
Ste 295a
Edison, NJ 08820-2849
Mailing address
230 Church St
Lodi, NJ 07644-3343
Phone (973) 964-5070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120705000539 | NJ | Practitioner - Physical Therapist in Private Practice | 9830126291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016976 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1497767404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 CHURCH ST",
"city": "LODI",
"state": "NJ",
"postal_code": "076443343",
"telephone_number": "973-964-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 OAK TREE RD",
"address_2": "STE 295A",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202849",
"telephone_number": "732-902-6910",
"fax_number": "732-902-6911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SANDIP",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "016976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.