Healthcare Provider Details

I. General information

NPI: 1487595963
Provider Name (Legal Business Name): PRINCY GABANI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 MEADOW BROOK RD
EDISON NJ
08837-2033
US

IV. Provider business mailing address

132 MEADOW BROOK RD
EDISON NJ
08837-2033
US

V. Phone/Fax

Practice location:
  • Phone: 973-657-6334
  • Fax: 973-657-6335
Mailing address:
  • Phone: 973-657-6334
  • Fax: 973-657-6335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02409400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: