Individual provider Active NPI

Ravi B Shah

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1669733507
Registry record updated Feb 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01554500 Issued in NJ
Practice address
9 Floyd St
Jersey City, NJ 07306-3509
Phone
(940) 882-0896
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2016

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 40QA01554500 NJ Primary

Addresses

Primary practice location

9 Floyd St
Jersey City, NJ 07306-3509

Mailing address

1003 Solook Dr
Parlin, NJ 08859-2255
Phone (940) 882-0896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530000122 NJ Practitioner - Physical Therapist in Private Practice 2466729272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Physical Therapy and Sports Medicine LLCGroup PAC ID 4981007341, 4 clinicians

Practice addresses (Care Compare)

525 Piaget Ave
Clifton, NJ 07011-3550
Phone (973) 362-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Philip Delli Santi, P.C. Physical Therapist CurrentSince Mar 10, 2018 Accepting new patients
Synaptic Rehabilitation, LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients
American Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Synaptic Rehab Bridgewater Physical Therapist PastSince Mar 22, 2021 Accepting new patients
Community Healthcare and Wellness of North Jersey LLC Past Accepting new patients
Clifton Orthopedic Associates P.a. PastSince Feb 14, 2017 Accepting new patients

Locations

525 Piaget Ave
Ste B
Clifton, NJ 07011

525 Piaget Ave
Clifton, NJ 07011
Phone (973) 362-0550

41-51 Wilson Ave
Ste 1-C
Newark, NJ 07105
Phone (973) 344-4848

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455408000000",
    "number": "1669733507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 SOLOOK DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088592255",
            "telephone_number": "940-882-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FLOYD ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063509",
            "telephone_number": "940-882-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAVI",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2016-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01554500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; 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.