Individual provider Active NPI

Bhairvi Mukherjee, DPT

  • Physical Therapist
  • Hackensack, NJ
National Provider Identifier
1760775241
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01376000 Issued in NJ
Practice address
60 Court St
Suite 5
Hackensack, NJ 07601-7050
Phone
(848) 628-4432
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01376000 NJ Primary
Physical Therapist 225100000X 62032793 NY

Addresses

Primary practice location

60 Court St
Suite 5
Hackensack, NJ 07601-7050

Mailing address

60 Court St
Suite 5
Hackensack, NJ 07601-7050
Phone (848) 628-4432

Other names 1

  • Dr. Bhairvi Mandavawala Former name

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

LicenseStateTypeSpecialty
62032793NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihealth Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Sportsmed PT LLC Physical Therapist PastSince Aug 11, 2025 Accepting new patients

Locations

60 Court St
Ste 1
Hackensack, NJ 07601
Phone (201) 270-6233

60 Court St
Ste 5
Hackensack, NJ 07601
Phone (201) 270-6233

19 E Main St
Ste 2
Mendham, NJ 07945
Phone (201) 270-6233

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1760775241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COURT ST",
            "address_2": "SUITE 5",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017050",
            "telephone_number": "848-628-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COURT ST",
            "address_2": "SUITE 5",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017050",
            "telephone_number": "848-628-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "BHAIRVI",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01376000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62032793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHAIRVI",
            "last_name": "MANDAVAWALA",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.