MEDICARE: MS. PRIYANKA DALSUKHBHAI CHOVATIYA

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	055264	NY

General Provider Information

NPI Number	:	1295697951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PRIYANKA DALSUKHBHAI CHOVATIYA

Provider Business Mailing Address
First Line	:	33 UNIVERSITY PLACE BLVD APT 435
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-4667
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 UNIVERSITY PLACE BLVD APT 435
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-4667
Country	:	US
Telephone Number	:	929-666-8454
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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