Active NPIIndividual provider

Lucas S Suydam, DPT

Physical Therapist in Avenel, New Jersey

NPI Number1083307599
Practice location
1050 US Highway 1, Avenel, NJ 07001-1548
Fax
732-283-2661
Last updated
October 28, 2024

Lucas S Suydam is a Physical Therapist based in Avenel, NJ. Lucas S Suydam practices in Avenel, NJ and has the professional credentials of DPT. The NPI Number for Lucas S Suydam is 1083307599 and holds a License No. 40QA02172100 (NJ). The current practice location address for Lucas S Suydam is 1050 US Highway 1, Avenel, NJ 07001-1548 and can be reached out via phone at 732-283-2663 and via fax at 732-283-2661.

Provider Profile Details

NPI Number
1083307599
Provider Name
Lucas S Suydam
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
1050 US Highway 1, Avenel, NJ 07001-1548
Phone Number
732-283-2663
Fax Number
732-283-2661
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2023
Last Update Date
October 28, 2024
Certification Date
October 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1050 US Highway 1
Avenel, NJ 07001-1548
City
Avenel
Zip
07001-1548
Phone Number
732-283-2663
Fax Number
732-283-2661
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
1050 US Highway 1
Avenel, NJ 07001-1548
City
Avenel
State
NJ
Zip
07001-1548
Phone Number
732-283-2663
Fax Number
732-283-2661

License Information

License Number
40QA02172100
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 Lucas S Suydam, DPT?

The NPI number of Lucas S Suydam, DPT is 1083307599. It was assigned on May 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Lucas S Suydam, DPT?

Lucas S Suydam, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02172100.

Where does Lucas S Suydam, DPT practice?

The practice location is 1050 US Highway 1, Avenel, NJ 07001-1548. The office can be reached at 732-283-2663 (phone) or 732-283-2661 (fax).

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 1083307599 directly on the NPPES registry website.

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