Provider Demographics
NPI:1376367292
Name:PARIKH, AVNI JAY (PT)
Entity type:Individual
Prefix:MRS
First Name:AVNI
Middle Name:JAY
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ROLLING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4429
Mailing Address - Country:US
Mailing Address - Phone:908-627-3193
Mailing Address - Fax:
Practice Address - Street 1:SUNRISE BRIGHTON GARDENS OF EDISON
Practice Address - Street 2:1801 OAK TREE RD
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820
Practice Address - Country:US
Practice Address - Phone:732-767-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00773700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist