Individual provider Active NPI

Furhana Amjad Chishti, D.P.T.

  • Physical Therapist
  • Jamesburg, NJ
National Provider Identifier
1649392911
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01240700 Issued in NJ
Practice address
1085 Cranbury South River Rd
Suite 2
Jamesburg, NJ 08831-3410
Phone
(609) 409-1900
Fax
(609) 409-2565
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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 40QA01240700 NJ Primary

Addresses

Primary practice location

1085 Cranbury South River Rd
Suite 2
Jamesburg, NJ 08831-3410

Mailing address

1070 Morris Ave Apt 1139
Union, NJ 07083-7159
Phone (732) 841-8699

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
40QA01240700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Backsmart Wellness Center P.a. Physical Therapist PastSince May 9, 2024 Accepting new patients
Premier Medical of NJ Past Accepting new patients

Organizations & group practices 2

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1649392911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MORRIS AVE APT 1139",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837159",
            "telephone_number": "732-841-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 CRANBURY SOUTH RIVER RD",
            "address_2": "SUITE 2",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088313410",
            "telephone_number": "609-409-1900",
            "fax_number": "609-409-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHTI",
        "first_name": "FURHANA",
        "middle_name": "AMJAD",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01240700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.