Active NPIIndividual provider

Shane Dimasso, DPT

Physical Therapist in Emerson, New Jersey

NPI Number1598449399
Practice location
444 Kinderkamack RD, Emerson, NJ 07630-1134
Fax
—
Last updated
June 12, 2023

Shane Dimasso is a Physical Therapist based in Emerson, NJ. Shane Dimasso practices in Emerson, NJ and has the professional credentials of DPT. The NPI Number for Shane Dimasso is 1598449399 and holds a License No. 40QA02178900 (NJ). The current practice location address for Shane Dimasso is 444 Kinderkamack RD, Emerson, NJ 07630-1134 and can be reached out via phone at 201-350-6300.

Provider Profile Details

NPI Number
1598449399
Provider Name
Shane Dimasso
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
444 Kinderkamack RD, Emerson, NJ 07630-1134
Phone Number
201-350-6300
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2023
Last Update Date
June 12, 2023
Certification Date
June 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
444 Kinderkamack RD
Emerson, NJ 07630-1134
Zip
07630-1134
Phone Number
201-350-6300
Emerson, NJ 07630Get directions →

Provider Business Mailing Address Details

Address
470 Bogert RD
River Edge, NJ 07661-2133
City
River Edge
State
NJ
Zip
07661-2133

License Information

License Number
40QA02178900
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.

Other Physical Therapists near Emerson, NJ

View all Physical Therapists in Emerson →

Frequently Asked Questions

What is the NPI number of Shane Dimasso, DPT?

The NPI number of Shane Dimasso, DPT is 1598449399. It was assigned on June 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Shane Dimasso, DPT?

Shane Dimasso, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02178900.

Where does Shane Dimasso, DPT practice?

The practice location is 444 Kinderkamack RD, Emerson, NJ 07630-1134. The office can be reached at 201-350-6300 (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 1598449399 directly on the NPPES registry website.

Browse related providers