Individual provider Active NPI

Payal Patel, DPT

  • Physical Therapist
  • Perth Amboy, NJ
National Provider Identifier
1609201813
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01518300 Issued in NJ
Practice address
553 Sayre Ave Ste 104
Perth Amboy, NJ 08861
Phone
(732) 486-8280
Fax
(732) 579-4281
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 40QA01518300 NJ Primary

Addresses

Primary practice location

553 Sayre Ave Ste 104
Perth Amboy, NJ 08861

Mailing address

553 Sayre Ave Ste 104
Perth Amboy, NJ 08861-3688
Phone (732) 486-8280

Other practice location 1

900 Easton Ave Ste 22
Somerset, NJ 08873-1760
Phone (732) 846-9400

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

State licenses

LicenseStateTypeSpecialty
40QA01518300NJMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1609201813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 SAYRE AVE STE 104",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613688",
            "telephone_number": "732-486-8280",
            "fax_number": "732-579-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 SAYRE AVE STE 104",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-486-8280",
            "fax_number": "732-579-4281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Easton Ave Ste 22",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088731760",
            "country_code": "US",
            "telephone_number": "732-846-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PAYAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01518300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.