Individual provider Active NPI

Sefaliben Jaykumar Patel

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1811473663
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1835 Richmond Rd
Staten Island, NY 10306-2560
Phone
(718) 502-5271
NPI assigned
Jul 16, 2018
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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 Primary

Addresses

Primary practice location

1835 Richmond Rd
Staten Island, NY 10306-2560

Mailing address

4 Topaz Dr
Franklin Park, NJ 08823-1611

Other practice location 1

796 Castleton Ave
Staten Island, NY 10310-1800
Phone (718) 524-7116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530000054 NJ Practitioner - Physical Therapist in Private Practice 0345607891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Physical Therapy LLCGroup PAC ID 3173043635, 2 clinicians
Health First Rehab LLCGroup PAC ID 3072792399, 3 clinicians
Healing Rehab,LLCGroup PAC ID 5092031922, 3 clinicians

Practice addresses (Care Compare)

120 N Ctr Dr
N Brunswick, NJ 08902-4910
Phone (732) 742-5435

1501 Livingston Ave
North Brunswick, NJ 08902-1880
Phone (732) 325-9234

2277 Route 33
Suite 411
Hamilton, NJ 08690-1700
Phone (609) 838-7284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Physical Therapy LLC Physical Therapist CurrentSince Jan 11, 2025 Accepting new patients
Healing Rehab,LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Health First Rehab LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

120 N Center Dr
North Brunswick, NJ 08902
Phone (732) 491-6547

1501 Livingston Ave
North Brunswick, NJ 08902
Phone (732) 325-9234

2277 Route 33
Ste 411
Trenton, NJ 08690
Phone (609) 838-7284

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1811473663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TOPAZ DR",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062560",
            "telephone_number": "718-502-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "796 Castleton Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101800",
            "country_code": "US",
            "telephone_number": "718-524-7116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SEFALIBEN",
        "middle_name": "JAYKUMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.