Individual provider Active NPI

Nishita Satish Gandhi

  • Physical Therapist
  • Montclair, NJ
National Provider Identifier
1922821578
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02298800 Issued in NJ
Practice address
325 Claremont Ave
Montclair, NJ 07042-2218
Phone
(551) 299-0552
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 40QA02298800 NJ Primary

Addresses

Primary practice location

325 Claremont Ave
Montclair, NJ 07042-2218

Mailing address

200 Riverside Station Blvd Apt 335
Secaucus, NJ 07094-4438
Phone (908) 529-6041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113000031 NJ Practitioner - Physical Therapist in Private Practice 2860920345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

325 Claremont Ave
Unit 34
Montclair, NJ 07042-2218
Phone (201) 345-6173

925 Clifton Ave
Suite 102
Clifton, NJ 07013-2724
Phone (973) 330-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients

Locations

925 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 330-0705

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

325 Claremont Ave
Unit 3
Montclair, NJ 07042
Phone (201) 345-6173

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, 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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1922821578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE STATION BLVD APT 335",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070944438",
            "telephone_number": "908-529-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLAREMONT AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422218",
            "telephone_number": "551-299-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "NISHITA SATISH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02298800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.