Equipoise Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01583400 Issued in NJ

Legal business name

EQUIPOISE PHYSICAL THERAPY

Practice address

2520 Kennedy Blvd Apt 1C
Jersey City, NJ 07304-2057

Phone

(201) 942-6424

Fax

(833) 963-2195

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Dipty Mali, PT, MBANPI 1033621842

Title

President

Phone

(949) 735-9472

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22295/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dipty Mali, PT

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1033621842
  Medicare reassignment Care Compare group NPD Authorized official
• Tanzeela Badar

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1023821691
  Medicare reassignment Care Compare group NPD
• Rasika Bhide

  • Physical Therapist
  • New York, NY
  • NPI 1588328991

  NJ

  Medicare reassignment Care Compare group NPD
• Ruju Shah

  • Physical Therapist
  • Jersey City, NJ
  • NPI 1700259330
  Medicare reassignment NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1700305455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 KENNEDY BLVD APT 1C",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042057",
            "telephone_number": "201-942-6424",
            "fax_number": "833-963-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 KENNEDY BLVD APT 1C",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042057",
            "telephone_number": "201-942-6424",
            "fax_number": "833-963-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPOISE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MALI",
        "authorized_official_first_name": "DIPTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-735-9472",
        "authorized_official_credential": "PT, MBA"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01583400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Otu Enyia, M.D
• Epaggelia LLC
• Epilepsy Institute of New Jersey, Inc
• Joseph P Epper
• Eileen A. Epstein, PH.D., LCSW
• Robert George Eramian, DDS
• Hailey Eresuma
• Shadia H Erian, DMD
• John Andrew Erianne, M.D.
• Ernesto Tolentino MD & Henry C Irving MD, PA

• Orthopedic Physical Therapist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.