Active NPI
Pooja Patel
- Physical Therapist
- New York, NY
National Provider Identifier
1922414614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 037639
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.