Individual provider Active NPI

Sameer Morjaria, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1972796142
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019912-1 Issued in NY
Practice address
233 Lenox Ave
Ground Floor
New York, NY 10027-6498
Phone
(917) 549-1038
Fax
(646) 497-0938
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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 019912-1 NY Primary

Addresses

Primary practice location

233 Lenox Ave
Ground Floor
New York, NY 10027-6498

Mailing address

233 Lenox Ave
Ground Floor
New York, NY 10027-6498
Phone (917) 549-1038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000139 NY Practitioner - Physical Therapist in Private Practice 9335161629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park North Physical Therapy, PLLCGroup PAC ID 9335238781, 8 clinicians

Practice addresses (Care Compare)

233 Lenox Ave
New York, NY 10027-6498
Phone (212) 222-6525

233 Malcolm X Blvd
New York, NY 10027-6498

2804 Broadway
New York, NY 10025-2236
Phone (212) 222-6525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019912NYMDPsychologist
019912-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Park North Physical Therapy, PLLC CurrentSince Oct 11, 2007 Accepting new patients

Organizations & group practices 1

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1972796142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LENOX AVE",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276498",
            "telephone_number": "917-549-1038",
            "fax_number": "646-497-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LENOX AVE",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276498",
            "telephone_number": "917-549-1038",
            "fax_number": "646-497-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORJARIA",
        "first_name": "SAMEER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019912-1",
            "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 Mar 3, 2008; 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.