Active NPIIndividual provider

Dr. Jaison Oommen, PT, DPT

Physical Therapist in Old Bridge, New Jersey

NPI Number1689855314
Practice location
18 Austin Ave, Old Bridge, NJ 08857-1205
Fax
732-234-6634
Last updated
December 10, 2024

Jaison Oommen is a Physical Therapist based in Old Bridge, NJ. Jaison Oommen practices in Old Bridge, NJ and has the professional credentials of PT, DPT. The NPI Number for Jaison Oommen is 1689855314 and holds a License No. 027753 (NY). The current practice location address for Jaison Oommen is 18 Austin Ave, Old Bridge, NJ 08857-1205 and can be reached out via phone at 917-975-3757 and via fax at 732-234-6634.

Provider Profile Details

NPI Number
1689855314
Provider Name
Jaison Oommen
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
18 Austin Ave, Old Bridge, NJ 08857-1205
Phone Number
917-975-3757
Fax Number
732-234-6634
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2007
Last Update Date
December 10, 2024
Certification Date
December 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Austin Ave
Old Bridge, NJ 08857-1205
Zip
08857-1205
Phone Number
917-975-3757
Fax Number
732-234-6634
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
435 Bradley Ave
Staten Island, NY 10314-6945
City
Staten Island
State
NY
Zip
10314-6945
Phone Number
917-975-3757
Fax Number
732-234-6634

License Information

License Number (1)
027753
License State (1)
NY
Taxonomy (1)
Physical Therapist, Geriatrics · 2251G0304X
License Number (2)
027753
License State (2)
NY
Taxonomy (2)
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 Dr. Jaison Oommen, PT, DPT?

The NPI number of Dr. Jaison Oommen, PT, DPT is 1689855314. It was assigned on November 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jaison Oommen, PT, DPT?

Dr. Jaison Oommen, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 027753.

Where does Dr. Jaison Oommen, PT, DPT practice?

The practice location is 18 Austin Ave, Old Bridge, NJ 08857-1205. The office can be reached at 917-975-3757 (phone) or 732-234-6634 (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 1689855314 directly on the NPPES registry website.

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