Jason M Lydell, DPT
Physical Therapist in West New York, New Jersey
1396263497- Practice location
- 6701 Bergenline Ave, West New York, NJ 07093-1704
- Phone
- 201-758-9100
- Fax
- —
- Last updated
- June 13, 2024
Jason M Lydell is a Physical Therapist based in West New York, NJ. Jason M Lydell practices in West New York, NJ and has the professional credentials of DPT. The NPI Number for Jason M Lydell is 1396263497 and holds a License No. 40QA01752500 (NJ). The current practice location address for Jason M Lydell is 6701 Bergenline Ave, West New York, NJ 07093-1704 and can be reached out via phone at 201-758-9100.
Provider Profile Details
- NPI Number
- 1396263497
- Provider Name
- Jason M Lydell
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6701 Bergenline Ave, West New York, NJ 07093-1704
- Phone Number
- 201-758-9100
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 8, 2017
- Last Update Date
- June 13, 2024
- Certification Date
- June 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6701 Bergenline Ave
West New York, NJ 07093-1704 - City
- West New York
- State
- New Jersey
- Zip
- 07093-1704
- Phone Number
- 201-758-9100
Provider Business Mailing Address Details
- Address
- 790 Remington Blvd
Bolingbrook, IL 60440-4909 - City
- Bolingbrook
- State
- IL
- Zip
- 60440-4909
License Information
- License Number
- 40QA01752500
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jason M Lydell, DPT?
The NPI number of Jason M Lydell, DPT is 1396263497. It was assigned on September 8, 2017 and is currently active in the NPPES registry.
What is the specialty of Jason M Lydell, DPT?
Jason M Lydell, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01752500.
Where does Jason M Lydell, DPT practice?
The practice location is 6701 Bergenline Ave, West New York, NJ 07093-1704. The office can be reached at 201-758-9100 (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 1396263497 directly on the NPPES registry website.