Provider Demographics
NPI:1235409970
Name:BARAIYA, PAYAL D
Entity Type:Individual
Prefix:
First Name:PAYAL
Middle Name:D
Last Name:BARAIYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 JONATHAN DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2234
Mailing Address - Country:US
Mailing Address - Phone:732-718-4705
Mailing Address - Fax:
Practice Address - Street 1:10 JONATHAN DR
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2234
Practice Address - Country:US
Practice Address - Phone:732-718-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034216225100000X
NJ40QA01525200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist