Active NPI
Bhairvi Mukherjee, DPT
- Physical Therapist
- Hackensack, NJ
National Provider Identifier
1760775241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01376000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 62032793 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihealth Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Sportsmed PT LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Hackensack, NJ
- NPI 1164968087
-
- Physical Therapist
- Glen Rock, NJ
- NPI 1841787645
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.