Individual provider Active NPI

Shweta Dhumak

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1689031312
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01668300 Issued in NJ
Practice address
4 Letts CT
East Brunswick, NJ 08816-5661
Phone
(908) 528-1478
NPI assigned
Jan 26, 2016
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039850-1 NY
Physical Therapist 225100000X 40QA01668300 NJ Primary
Pediatric Physical Therapist 2251P0200X 039850-1 NY

Addresses

Primary practice location

4 Letts CT
East Brunswick, NJ 08816-5661

Mailing address

4 Letts CT
East Brunswick, NJ 08816-5661
Phone (908) 528-1478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180502000057 NJ Practitioner - Physical Therapist in Private Practice 9830453794 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01668300NJMDPhysical Therapist
039850-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Oct 15, 2020 Accepting new patients
Kiara Physical Therapy LLC Physical Therapist CurrentSince Mar 19, 2018 Accepting new patients
Synergy Therapy Services Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Link Home Services of NJ LLC CurrentSince Dec 1, 2020 Accepting new patients
Oncore Speech Therapy LLC PastSince Mar 3, 2021 Accepting new patients

Locations

7 Edgeboro Rd
#111
East Brunswick, NJ 08816
Phone (732) 246-3585

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

246 Ryders Ln
Milltown, NJ 08850
Phone (732) 246-3585

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1689031312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LETTS CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165661",
            "telephone_number": "908-528-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LETTS CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165661",
            "telephone_number": "908-528-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUMAK",
        "first_name": "SHWETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039850-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01668300",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "039850-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.