NPIMap

Organization Active NPI

Emerson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Emerson, NJ
National Provider Identifier
1659837607
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EMERSON PHYSICAL THERAPY LLC
Practice address
45 Emerson PLZ E Ste 102
Emerson, NJ 07630-1886
Phone
(516) 708-3182
NPI assigned
Feb 14, 2019
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shalin B. Patel, DC
Title
Chiropractor/Owner
Phone
(516) 708-3182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

45 Emerson PLZ E Ste 102
Emerson, NJ 07630-1886

Mailing address

45 Emerson PLZ E Ste 102
Emerson, NJ 07630-1886
Phone (516) 708-3182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401002281 NJ Part B Supplier - Clinic/Group Practice 0941541908 Receives reassigned benefits from 36 practitioners
Practice locations: Emerson, NJ

National Provider Directory

National Provider Directory

Locations

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1659837607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 EMERSON PLZ E STE 102",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301886",
            "telephone_number": "516-708-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EMERSON PLZ E STE 102",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301886",
            "telephone_number": "516-708-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHALIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "516-708-3182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.