Individual provider Active NPI

Khushbu Jain, PT

  • Rehabilitation Registered Nurse
  • Monsey, NY
National Provider Identifier
1619209608
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
032214-1 Issued in NY
Practice address
23 Robert Pitt Dr
Suite 110
Monsey, NY 10952-3373
Phone
(845) 517-2652
Fax
(845) 517-2654
NPI assigned
Feb 2, 2010
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X 032214-1 NY Primary

Addresses

Primary practice location

23 Robert Pitt Dr
Suite 110
Monsey, NY 10952-3373

Mailing address

23 Robert Pitt Dr
Suite 110
Monsey, NY 10952
Phone (845) 517-2652

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
032214-1NYMDRehabilitation Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC Past 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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1619209608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROBERT PITT DR",
            "address_2": "SUITE 110",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-517-2652",
            "fax_number": "845-517-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROBERT PITT DR",
            "address_2": "SUITE 110",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523373",
            "telephone_number": "845-517-2652",
            "fax_number": "845-517-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "KHUSHBU",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NY",
            "license": "032214-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.