Sixth Borough Medical LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SIXTH BOROUGH MEDICAL LLC

Practice address

282 St Pauls Avenue
Floor 1
Jersey City, NJ 07306-5085

Phone

(201) 422-2556

Fax

(866) 265-3540

NPI assigned

Sep 6, 2018

Last updated

Feb 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manish B Patel, DONPI 1962765461

Title

Ceo

Phone

(201) 422-2556

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manish B Patel, DO

  • Physical Medicine & Rehabilitation Physician
  • Jersey City, NJ
  • NPI 1962765461
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1932681848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 ST PAULS AVENUE",
            "address_2": "FLOOR 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065085",
            "telephone_number": "201-422-2556",
            "fax_number": "866-265-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 ST PAULS AVENUE",
            "address_2": "FLOOR 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065085",
            "telephone_number": "201-422-2556",
            "fax_number": "866-265-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTH BOROUGH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-422-2556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB09801400",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DEPARTMENT OF THE TREASURY",
            "identifier": "0450747054",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://sixthboroughmedical.com",
            "affiliation": "N",
            "address_1": "282 Saint Pauls Ave",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073065085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sip Pharmacy
• Padma Siripurapu, M.D
• Angela R Sista, OTD, OTR/L
• Sit With Kelly PC
• Anjali Sivendra, MD
• SJ Nurses Inc.
• Carol Christine Skipper, MD
• Jay Sklower, D.O.
• SLC Pharmacy Inc (Courthouse Pharmacy)
• Borys Slep, MD

• Physical Medicine & Rehabilitation Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.