Active NPI
Joby Kizhakkencheril, PT
- Specialist
- Congers, NY
National Provider Identifier
1619409174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 032574
- Practice address
- 139 New York Ave
Congers, NY 10920-2824 - Phone
- (845) 267-8946
- NPI assigned
- Apr 3, 2017
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 032574 | NY | Primary |
Addresses
Primary practice location
139 New York Ave
Congers, NY 10920-2824
Mailing address
139 New York Ave
Congers, NY 10920-2824
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1619409174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 NEW YORK AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109202824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 NEW YORK AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109202824",
"telephone_number": "845-267-8946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZHAKKENCHERIL",
"first_name": "JOBY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "032574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Congers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.