NPIMap

Organization Active NPI

Radiology and Rehab PA LLC

  • Occupational Therapist
  • Paterson, NJ
National Provider Identifier
1710575345
Registry record updated Sep 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
RADIOLOGY AND REHAB PA LLC
Practice address
185 6TH Ave
Paterson, NJ 07524-1241
Phone
(201) 655-3207
NPI assigned
Jan 8, 2021
Last updated
Sep 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2022

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

Authorized official

Name
Indu SharmaNPI 1679760193
Title
Otr
Phone
(201) 655-3207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

185 6TH Ave
Paterson, NJ 07524-1241

Mailing address

PO Box 233
Alpine, NJ 07620-0233
Phone (201) 767-2104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220816003023 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193144558 Receives reassigned benefits from 2 practitioners
Practice locations: Paterson, NJ

National Provider Directory

National Provider Directory

Locations

109B Midland Ave
Elmwood Park, NJ 07407
Phone (201) 655-3207

185 6th Ave
Paterson, NJ 07524
Phone (973) 782-5550

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663977600000",
    "number": "1710575345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "ALPINE",
            "state": "NJ",
            "postal_code": "076200233",
            "telephone_number": "201-767-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 6TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241241",
            "telephone_number": "201-655-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY AND REHAB PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "INDU",
        "authorized_official_title_or_position": "OTR",
        "authorized_official_telephone_number": "201-655-3207"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.