Individual provider Active NPI

Bijita Mistry

  • Physical Therapist
  • Bordentown, NJ
National Provider Identifier
1932838810
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02090100 Issued in NJ
Practice address
243 Route 130 Ste 100
Bordentown, NJ 08505-2137
Phone
(609) 400-1630
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 40QA02090100 NJ Primary

Addresses

Primary practice location

243 Route 130 Ste 100
Bordentown, NJ 08505-2137

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 777-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621000440 NJ Practitioner - Physical Therapist in Private Practice 3577942655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians
Healing Star Physical Therapy and Wellness LLCGroup PAC ID 4688824816, 8 clinicians

Practice addresses (Care Compare)

130 Black Horse Pike
Suite 302
Audubon, NJ 08106-1961
Phone (856) 538-2130

145 Wyckoff Rd
Suite 102
Eatontown, NJ 07724-1879
Phone (732) 272-1438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02090100NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Star Physical Therapy and Wellness LLC Physical Therapist CurrentSince Oct 4, 2024 Accepting new patients

Locations

145 Wyckoff Rd
Ste 102
Eatontown, NJ 07724
Phone (732) 578-0311

501 Iron Bridge Rd
Ste 2
Freehold, NJ 07728
Phone (732) 272-1438

198 Brighton Ave
Long Branch, NJ 07740
Phone (732) 272-1438

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1932838810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-777-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ROUTE 130 STE 100",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052137",
            "telephone_number": "609-400-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "BIJITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02090100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.