Individual provider Active NPI

Umair Khalid, PT

  • Neurology Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1699339671
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
039875 Issued in NY
Practice address
142 Logan Ave
Jersey City, NJ 07306-6906
Phone
(551) 689-6603
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 039875 NY Primary

Addresses

Primary practice location

142 Logan Ave
Jersey City, NJ 07306-6906

Mailing address

142 Logan Ave
Jersey City, NJ 07306-6906
Phone (551) 689-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200127001237 NY Practitioner - Physical Therapist in Private Practice 4789019415 Reassigns benefits to 1 organization
I20250930004271 NJ Practitioner - Physical Therapist in Private Practice 4789019415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

1122 Hwy 22
Suite 101
Mountainside, NJ 07092-1812
Phone (908) 233-3993

1820 Corlies Ave
Suite 12
Neptune, NJ 07753-4989
Phone (732) 803-1340

2011 State Route 35
Middletown, NJ 07748-1830
Phone (732) 508-0078

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

515 Brick Blvd
Brick, NJ 08723-6009
Phone (732) 800-6015

65 Mechanic St
Suite L 5
Red Bank, NJ 07701-1868
Phone (732) 747-0075

720 Bergen Ave
Jersey City, NJ 07306-4706
Phone (201) 857-0527

884 Commons Way BLDG H
Sportsmed Physical Therapy
Toms River, NJ 08755-6430
Phone (732) 503-9007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039875NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Neurology CurrentSince Nov 6, 2019 Accepting new patients
Sportsmed PT LLC CurrentSince Aug 11, 2025 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798

900 Route 9 N
Woodbridge, NJ 07095

1 Hanson Pl
Ste 401
Brooklyn, NY 11243
Phone (718) 230-0631

185 Montague St
Fl 6
Brooklyn, NY 11201
Phone (718) 243-9900

4010 Avenue U
Brooklyn, NY 11234
Phone (718) 692-1155

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

194 Joralemon St
Brooklyn, NY 11201
Phone (718) 643-7116

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

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.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1699339671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LOGAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066906",
            "telephone_number": "551-689-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LOGAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073066906",
            "telephone_number": "551-689-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "UMAIR",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "039875",
            "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 Apr 25, 2019; 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.