Active NPI
Meetu Mangalvedkar
- Physical Therapist
- New York, NY
National Provider Identifier
1992041792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028961-1
- Practice address
- 773-775 9TH Ave
New York, NY 10019 - Phone
- (212) 586-1550
- NPI assigned
- Dec 26, 2012
- 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 | 028961-1 | NY | Primary |
Addresses
Primary practice location
773-775 9TH Ave
New York, NY 10019
Mailing address
55 Savoy Ave
Elmont, NY 11003-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
251 James St
Franklin Square, NY 11010-2302
PO Box
Suite 290609
Nashville, TN 37229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028961-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Luna Care Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Midtown Health Center Pharmacy | Past | Accepting new patients |
Locations
1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063
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.
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
-
- Clinic Pharmacy
- New York, NY
- NPI 1538312749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1992041792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SAVOY AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773-775 9TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-586-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGALVEDKAR",
"first_name": "MEETU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028961-1",
"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 Dec 26, 2012; 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.