Provider Demographics
NPI:1295042174
Name:KARANI, ADITYA V
Entity Type:Individual
Prefix:
First Name:ADITYA
Middle Name:V
Last Name:KARANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MAGNOLIA AVE
Mailing Address - Street 2:APT # 33
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1896
Mailing Address - Country:US
Mailing Address - Phone:718-679-5545
Mailing Address - Fax:
Practice Address - Street 1:590 NEWARK AVE
Practice Address - Street 2:SUITE 2 A
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2302
Practice Address - Country:US
Practice Address - Phone:201-420-1165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01432100225100000X
NY62 032091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist