Individual provider Active NPI

Nischal Patel, DPT

  • Physical Therapist
  • Westfield, NJ
National Provider Identifier
1629657960
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01992300 Issued in NJ
Practice address
116 S Euclid Ave
Westfield, NJ 07090-2184
Phone
(908) 588-2311
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 40QA01992300 NJ Primary

Addresses

Primary practice location

116 S Euclid Ave
Westfield, NJ 07090-2184

Mailing address

116 S Euclid Ave
Westfield, NJ 07090-2184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210426000207 NJ Practitioner - Physical Therapist in Private Practice 4688082092 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3150 US Hwy 22
Branchburg, NJ 08876-3595
Phone (908) 746-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01992300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Specialists LLC CurrentSince Apr 8, 2021 Accepting new patients
Performance Medical Group of Hillsborough LLC CurrentSince Apr 21, 2025 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Apr 21, 2025 Accepting new patients
Genesis Comp Concussion LLC CurrentSince Apr 27, 2025 Accepting new patients
Performance Medical Group of Somerset CurrentSince Apr 21, 2025 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Apr 21, 2025 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

105 Raider Blvd
Ste 201
Hillsborough, NJ 08844

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

300 Executive Dr
Ste 110
West Orange, NJ 07052
Phone (908) 588-2311

116 S Euclid Ave
Ste 1
Westfield, NJ 07090
Phone (908) 232-5551

116 S Euclid Ave
Westfield, NJ 07090
Phone (908) 233-4801

Organizations & group practices 7

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1629657960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902184",
            "telephone_number": "908-588-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISCHAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01992300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.