Individual provider Active NPI

Kinjalbahen Dipen Patel, PT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1811232671
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01558500 Issued in NJ
Practice address
907 E Tremont Ave
Bronx, NY 10460-4301
Phone
(718) 589-9588
Fax
(718) 589-9589
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01558500 NJ Primary

Addresses

Primary practice location

907 E Tremont Ave
Bronx, NY 10460-4301

Mailing address

40 New Brunswick Ave
Perth Amboy, NJ 08861-5000
Phone (914) 328-8077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012000742 NJ Practitioner - Physical Therapist in Private Practice 1759526999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid Relief Medical Group LLCGroup PAC ID 8820448756, 2 clinicians
Middlesex Physical Therapy Services Inc.Group PAC ID 9739265562, 2 clinicians

Practice addresses (Care Compare)

1280 Randolph Rd
Suite 105
Plainfield, NJ 07060-3324
Phone (908) 288-4827

40 New Brunswick Ave
Perth Amboy, NJ 08861-5000
Phone (732) 324-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Relief Medical Group LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Rapid Relief Medical Group LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Middlesex Physical Therapy Services Inc. Physical Therapist CurrentSince Aug 23, 2017 Accepting new patients
R.G. Medical, PC Past Accepting new patients

Locations

1170 Clifton Ave
Clifton, NJ 07013
Phone (732) 589-9987

40 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-2121

1280 Randolph Rd
Ste 105
Plainfield, NJ 07060
Phone (732) 589-9987

Organizations & group practices 4

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": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1811232671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088615000",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604301",
            "telephone_number": "718-589-9588",
            "fax_number": "718-589-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KINJALBAHEN",
        "middle_name": "DIPEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01558500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.