Individual provider Active NPI

Mahendra Gaikwad

  • Physical Therapist
  • New York, NY
National Provider Identifier
1619395183
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036983-1 Issued in NY
Practice address
800 2ND Ave
Suite 802
New York, NY 10017-4709
Phone
(212) 600-9299
Fax
(718) 775-3419
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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 036983-1 NY Primary

Addresses

Primary practice location

800 2ND Ave
Suite 802
New York, NY 10017-4709

Mailing address

800 2ND Ave
Suite 802
New York, NY 10017-4709
Phone (212) 600-9299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150321000113 NY Practitioner - Physical Therapist in Private Practice 6901123405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Class Physical Therapy, P.C.Group PAC ID 6709844103, 5 clinicians

Practice addresses (Care Compare)

111 N 7TH St
Brooklyn, NY 11249-3021
Phone (718) 384-4002

695 Stanley Ave
Brooklyn, NY 11207-7905
Phone (347) 915-0791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036983-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Class Physical Therapy, P.C. Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients

Locations

111 N 7th St
Brooklyn, NY 11249
Phone (718) 384-4002

695 Stanley Ave
Brooklyn, NY 11207
Phone (347) 915-0791

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1619395183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "212-600-9299",
            "fax_number": "718-775-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVE",
            "address_2": "SUITE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "212-600-9299",
            "fax_number": "718-775-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIKWAD",
        "first_name": "MAHENDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.