Kunal Pathak

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

034307 Issued in NY

Practice address

179 Manhattan Ave
Jersey City, NJ 07307-3842

Phone

(201) 687-2452

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care Spine and Sports LLCGroup PAC ID 6002282001, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Care Spine & Sports, LLC

  • Physical Therapist
  • Clifton, NJ
  • NPI 1902558141
  Medicare reassignment Care Compare group NPD
• Therapeutix LLC

  dba Care Spine and Sports

  • Physical Therapist
  • Woodland Park, NJ
  • NPI 1578391868
  NPD Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1689940918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 MANHATTAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073842",
            "telephone_number": "201-687-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MANHATTAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073842",
            "telephone_number": "201-687-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "KUNAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "034307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidhi Patel
• Vinodkumar Patel, MD
• Vipul H Patel, RPH
• Deepankar Raj Pathak
• Hrishi Pathak, PHYSICAL THERAPIST
• Pathmark Stores Inc (Pathmark Pharmacy)
• Pathmark Stores Inc (Pathmark Pharmacy)
• Andrea Patrick
• Atiya Malika Patterson
• Simone Cyise Patterson, LPC, LCADC

• Physical Medicine & Rehabilitation Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.