Healthcare Provider Details

I. General information

NPI: 1598602476
Provider Name (Legal Business Name): DHRUVI BHARATBHAI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 JOHN F KENNEDY BLVD
JERSEY CITY NJ
07306-3053
US

IV. Provider business mailing address

3204 JOHN F KENNEDY BLVD
JERSEY CITY NJ
07306-3053
US

V. Phone/Fax

Practice location:
  • Phone: 908-917-9920
  • Fax:
Mailing address:
  • Phone: 908-917-9920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberP140235
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: