Provider Demographics
NPI:1326327834
Name:PANDYA, SANDIP J (PT,DPT)
Entity Type:Individual
Prefix:
First Name:SANDIP
Middle Name:J
Last Name:PANDYA
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 SOLOOK DR
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-2249
Mailing Address - Country:US
Mailing Address - Phone:732-890-1881
Mailing Address - Fax:
Practice Address - Street 1:50 ROMA ST
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872-1728
Practice Address - Country:US
Practice Address - Phone:732-890-1300
Practice Address - Fax:732-982-1013
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01404200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist