Healthcare Provider Details

I. General information

NPI: 1407780497
Provider Name (Legal Business Name): HITAKSHI NIKULBHAI HIRPARA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 PARKSIDE AVE STE 201
BROOKLYN NY
11226-8414
US

IV. Provider business mailing address

193 HUTTON ST
JERSEY CITY NJ
07307-3702
US

V. Phone/Fax

Practice location:
  • Phone: 718-587-1889
  • Fax: 718-587-1891
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number015386
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: