MEDICARE: VIDHI JETHAVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	66-P140472-01

General Provider Information

NPI Number	:	1124986690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIDHI JETHAVA

Provider Business Mailing Address
First Line	:	3457 82ND ST STE 1F
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3457 82ND ST STE 1F
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2930
Country	:	US
Telephone Number	:	718-540-4740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1336111467 — MARCEL M ADMONI
Practice Location Address:

3457 82ND ST STE 1F , NEXT GENERATION EYE CARE
JACKSON HEIGHTS, NY
11372-2930

Practice Phone: 718-446-8100
Practice Fax: 516-482-2336

1912942624 — DR. EDUARD SHNAYDMAN D.O.
Practice Location Address:

3457 82ND ST
JACKSON HEIGHTS, NY
11372-2930

Practice Phone: 718-424-2457
Practice Fax: 718-424-1954

1831129931 — MARCEL MORDECHAI ADMONI M.D.
Practice Location Address:

3457 82ND ST STE 1F , NEXT GENERATION EYE CARE
JACKSON HEIGHTS, NY
11372-2930

Practice Phone: 718-446-8100
Practice Fax: 516-482-2336

1053450312 — MARCEL MORDECHAI ADMONI, M.D., P.C.
Practice Location Address:

3457 82ND ST STE 1F , NEXT GENERATION EYE CARE
JACKSON HEIGHTS, NY
11372-2930

Practice Phone: 718-446-8100
Practice Fax: 516-482-2336

1881236669 — DR. SEVADA HAKOBYAN OD
Practice Location Address:

3457 82ND ST STE 1F
JACKSON HEIGHTS, NY
11372-2930

Practice Phone: 718-446-8100
Practice Fax:

1861829673 — JULIE ANN LANDRY LCSW, BACS
Practice Location Address:

3122 JACKSON BLVD
CHALMETTE, LA
70043-2930

Practice Phone: 504-481-9464
Practice Fax:

Directions to “ VIDHI JETHAVA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.