Healthcare Provider Details

I. General information

NPI: 1730078486
Provider Name (Legal Business Name): NIDHI POSHIYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 BERGEN AVE MCGINLEY SQUARE
JERSEY CITY NJ
07306
US

IV. Provider business mailing address

161 LAIDLAW AVE FL 1
JERSEY CITY NJ
07306-2512
US

V. Phone/Fax

Practice location:
  • Phone: 201-630-8488
  • Fax: 201-451-0484
Mailing address:
  • Phone: 945-246-9764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number051544
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: