Individual provider Active NPI

Pooja Patel

  • Physical Therapist
  • New York, NY
National Provider Identifier
1922414614
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037639 Issued in NY
Practice address
436 Fort Washington Ave
Suite 1H
New York, NY 10033-3507
Phone
(212) 781-4720
Fax
(212) 923-9585
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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 037639 NY Primary

Addresses

Primary practice location

436 Fort Washington Ave
Suite 1H
New York, NY 10033-3507

Mailing address

175 Saint Pauls Ave
Apt 4
Jersey City, NJ 07306-2620
Phone (845) 798-8870

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

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1922414614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SAINT PAULS AVE",
            "address_2": "APT 4",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062620",
            "telephone_number": "845-798-8870",
            "fax_number": "212-923-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 FORT WASHINGTON AVE",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333507",
            "telephone_number": "212-781-4720",
            "fax_number": "212-923-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.