Active NPI
Jenisha Uday Patel, PT
- Physical Therapist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045248
- Practice address
- 1415 Richmond Ave
Staten Island, NY 10314-1553 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 045248 | NY | Primary |
Addresses
Primary practice location
1415 Richmond Ave
Staten Island, NY 10314-1553
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Middletown Rd
Pearl River, NY 10965-2017
Phone (845) 589-0556
1844 2ND Ave
New York, NY 10128-3862
Phone (877) 407-3422
3820 Bowne St
Flushing, NY 11354-5638
Phone (877) 407-3422
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Fox Rehabilitation Physical Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Esd PT OT & SLP PLLC | Physical Therapist | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
7 Carnegie Plz
Cherry Hill, NJ 08003
111 E 210th St
Bronx, NY 10467
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
100 N Middletown Rd
Pearl River, NY 10965
Phone (845) 589-0556
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
Organizations & group practices 6
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.
-
- Physical Therapist
- New York, NY
- NPI 1174560650
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
-
- Physical Therapist
- Brooklyn, NY
- NPI 1003383308
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1639716194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CARNEGIE PLZ",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031000",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141553",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JENISHA",
"middle_name": "UDAY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.