Active NPIIndividual providerSole proprietor

Anthony J Iadisernia, DPT

Physical Therapist in Eatontown, New Jersey

NPI Number1043822935
Practice location
1 Main St Ste 505, Eatontown, NJ 07724-3903
Fax
—
Last updated
August 20, 2020

Anthony Joseph Iadisernia is a Physical Therapist based in Eatontown, NJ. Anthony Joseph Iadisernia practices in Eatontown, NJ and has the professional credentials of DPT. The NPI Number for Anthony Joseph Iadisernia is 1043822935 and holds a License No. 40QA01941700 (NJ). The current practice location address for Anthony Joseph Iadisernia is 1 Main St Ste 505, Eatontown, NJ 07724-3903 and can be reached out via phone at 732-493-3100.

Provider Profile Details

NPI Number
1043822935
Provider Name
Anthony Joseph Iadisernia
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
1 Main St Ste 505, Eatontown, NJ 07724-3903
Phone Number
732-493-3100
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 20, 2020
Last Update Date
August 20, 2020
Certification Date
August 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Main St Ste 505
Eatontown, NJ 07724-3903
Zip
07724-3903
Phone Number
732-493-3100
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
1 Main St Ste 505
Eatontown, NJ 07724-3903
City
Eatontown
State
NJ
Zip
07724-3903

License Information

License Number
40QA01941700
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anthony J Iadisernia, DPT?

The NPI number of Anthony J Iadisernia, DPT is 1043822935. It was assigned on August 20, 2020 and is currently active in the NPPES registry.

What is the specialty of Anthony J Iadisernia, DPT?

Anthony J Iadisernia, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01941700.

Where does Anthony J Iadisernia, DPT practice?

The practice location is 1 Main St Ste 505, Eatontown, NJ 07724-3903. The office can be reached at 732-493-3100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043822935 directly on the NPPES registry website.

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