Individual provider Active NPI

Kalyan Chakravarthi Peddineni

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1689339335
Registry record updated Jun 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037525 Issued in NY
Practice address
382 Baldwin Ave Apt 3
Jersey City, NJ 07306-2054
Phone
(240) 782-5141
NPI assigned
Nov 7, 2021
Last updated
Jun 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2026

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 037525 NY Primary

Addresses

Primary practice location

382 Baldwin Ave Apt 3
Jersey City, NJ 07306-2054

Mailing address

382 Baldwin Ave Apt 3
Jersey City, NJ 07306-2054
Phone (240) 782-5141

Other practice location 1

2627 Hylan Blvd # A2
Staten Island, NY 10306-4344
Phone (646) 820-5669

Other practice location 2

3377 Richmond Ave
Staten Island, NY 10312-2035
Phone (646) 820-5669

Other practice location 3

1785 Forest Ave
Staten Island, NY 10303-2107
Phone (646) 820-5669

Other practice location 4

382 Baldwin Ave Apt 3
Jersey City, NJ 07306-2054
Phone (240) 782-5141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130001345 NY Practitioner - Physical Therapist in Private Practice 8527546647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Physical Therapy, PCGroup PAC ID 3577722727, 15 clinicians

Practice addresses (Care Compare)

1785 Forest Ave
Staten Island, NY 10303-2107
Phone (646) 820-5669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037525NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B & L Health Inc CurrentSince Jan 1, 2026 Accepting new patients
Ajay 28 LLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

1100 Coney Island Ave
Ste 2
Brooklyn, NY 11230
Phone (718) 434-2100

1655 E 13th St
Brooklyn, NY 11229
Phone (718) 339-3100

6860 Austin St
Ste 10
Forest Hills, NY 11375
Phone (718) 896-4100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJEBCD

Organizations & group practices 3

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": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781395200000",
    "number": "1689339335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 BALDWIN AVE APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062054",
            "telephone_number": "240-782-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 BALDWIN AVE APT 3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062054",
            "telephone_number": "240-782-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Hylan Blvd # A2",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103064344",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103122035",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1785 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103032107",
            "country_code": "US",
            "telephone_number": "646-820-5669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "382 Baldwin Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073062054",
            "country_code": "US",
            "telephone_number": "240-782-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDDINENI",
        "first_name": "KALYAN",
        "middle_name": "CHAKRAVARTHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-07",
        "last_updated": "2026-06-14",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037525",
            "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 14, 2026; 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.