Active NPI
Payal Rana
- Physical Therapist
- Passaic, NJ
National Provider Identifier
1699300301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 04572101
- Practice address
- 89 Gregory Ave Apt 12
Passaic, NJ 07055-4830 - Phone
- (862) 295-6491
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 04572101 | NY | Primary |
Addresses
Primary practice location
89 Gregory Ave Apt 12
Passaic, NJ 07055-4830
Mailing address
89 Gregory Ave Apt 12
Passaic, NJ 07055-4830
Phone (862) 295-6491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04572101 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraphysical, LLC | Physical Therapist | Current | Accepting new patients |
| Theraphysical, LLC | Current | Accepting new patients |
Locations
623 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 340-4656
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Lyndhurst, NJ
- NPI 1134463235
-
- Physical Therapist
- Garfield, NJ
- NPI 1821694670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1699300301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 GREGORY AVE APT 12",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554830",
"telephone_number": "862-295-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 GREGORY AVE APT 12",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554830",
"telephone_number": "862-295-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANA",
"first_name": "PAYAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "04572101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.