Individual provider Active NPI

Archana Kulkarni, P.T., M.H.S.

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1679017271
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01697400 Issued in NJ
Practice address
361 Montgomery St
Jersey City, NJ 07302-3345
Phone
(201) 932-2656
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 40QA01697400 NJ
Physical Therapist 225100000X 40QA01697400 NJ Primary

Addresses

Primary practice location

361 Montgomery St
Jersey City, NJ 07302-3345

Mailing address

270 Marin Blvd Apt 6F
Jersey City, NJ 07302-3699
Phone (317) 457-1627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220000810 NJ Practitioner - Physical Therapist in Private Practice 7214210145 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical and Occupational Therapy PCGroup PAC ID 8426294455, 17 clinicians
Holsman Physical Therapy and Wellness PCGroup PAC ID 2062666910, 24 clinicians

Practice addresses (Care Compare)

15 -01 Broadway
Suite 12
Fair Lawn, NJ 07410-6018
Phone (201) 355-5199

408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
100
Improvement activities
40
Cost
55.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01697400NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical and Occupational Therapy, PC CurrentSince Apr 29, 2024 Accepting new patients
Holsman Physical Therapy and Rehabilitation PC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Ambulatory Pain and Disability Management Center LLC Current Accepting new patients
Home Therapy, LLC CurrentSince Apr 29, 2024 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Apr 29, 2024 Accepting new patients
Holsman PT Rehabilitation PC Physical Therapist PastSince Jun 9, 2024 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

361 Montgomery St
Ste 1
Jersey City, NJ 07302
Phone (201) 932-2656

191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 656-4324

361 Montgomery St
Jersey City, NJ 07302
Phone (201) 932-2656

724 Ridge Rd
Unit H3
Lyndhurst, NJ 07071
Phone (201) 500-9812

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 8

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1679017271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MARIN BLVD APT 6F",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023699",
            "telephone_number": "317-457-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023345",
            "telephone_number": "201-932-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "ARCHANA",
        "credential": "P.T., M.H.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "40QA01697400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01697400",
            "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 Jun 3, 2024; 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.