Active NPI
Manasi Dhiren Chalishazar, PT
- Physical Therapist
- Englewood, NJ
National Provider Identifier
1942740469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01712100
- Practice address
- 54 S Dean St
Englewood, NJ 07631-3514 - Phone
- (201) 871-4000
- NPI assigned
- Mar 2, 2017
- Last updated
- Mar 2, 2017
- 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 | 40QA01712100 | NJ | Primary |
Addresses
Primary practice location
54 S Dean St
Englewood, NJ 07631-3514
Mailing address
30 Newport Pkwy
Apt 1705
Jersey City, NJ 07310-1503
Phone (857) 209-1204
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01712100 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1942740469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NEWPORT PKWY",
"address_2": "APT 1705",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101503",
"telephone_number": "857-209-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 S DEAN ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076313514",
"telephone_number": "201-871-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHALISHAZAR",
"first_name": "MANASI",
"middle_name": "DHIREN",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01712100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.