Active NPI
Sujata Kamdar, MS PT
- Physical Therapist
- Rego Park, NY
National Provider Identifier
1972915833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036095
- Practice address
- 9229 Queens Blvd
Apt # 12G
Rego Park, NY 11374-1056 - Phone
- (312) 912-2952
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 036095 | NY | Primary |
Addresses
Primary practice location
9229 Queens Blvd
Apt # 12G
Rego Park, NY 11374-1056
Mailing address
9229 Queens Blvd
Apt # 12G
Rego Park, NY 11374-1056
Phone (312) 912-2952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22445 Cupertino Rd
Cupertino, CA 95014-1052
Phone (732) 994-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
22445 Cupertino Rd
Cupertino, CA 95014
Phone (408) 253-4300
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
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": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1972915833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9229 QUEENS BLVD",
"address_2": "APT # 12G",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741056",
"telephone_number": "312-912-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9229 QUEENS BLVD",
"address_2": "APT # 12G",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741056",
"telephone_number": "312-912-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMDAR",
"first_name": "SUJATA",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.