Active NPIIndividual providerSole proprietor

Dr. Jason A Decesari, PT, DPT

Physical Therapist in Medford, New Jersey

NPI Number1902140296
Practice location
200 Tuckerton RD, Suite 17, Medford, NJ 08055-8806
Fax
856-810-0373
Last updated
November 27, 2012

Jason A Decesari is a Physical Therapist based in Medford, NJ. Jason A Decesari practices in Medford, NJ and has the professional credentials of PT, DPT. The NPI Number for Jason A Decesari is 1902140296 and holds a License No. 40QA01471400 (NJ). The current practice location address for Jason A Decesari is 200 Tuckerton RD, Suite 17, Medford, NJ 08055-8806 and can be reached out via phone at 856-396-2250 and via fax at 856-810-0373.

Provider Profile Details

NPI Number
1902140296
Provider Name
Jason A Decesari
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
200 Tuckerton RD, Suite 17, Medford, NJ 08055-8806
Phone Number
856-396-2250
Fax Number
856-810-0373
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 27, 2012
Last Update Date
November 27, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Tuckerton RD
Suite 17
Medford, NJ 08055-8806
Zip
08055-8806
Phone Number
856-396-2250
Fax Number
856-810-0373
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
200 Tuckerton RD
Suite 17
Medford, NJ 08055-8806
City
Medford
State
NJ
Zip
08055-8806
Phone Number
856-396-2250
Fax Number
856-810-0373

License Information

License Number
40QA01471400
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 Dr. Jason A Decesari, PT, DPT?

The NPI number of Dr. Jason A Decesari, PT, DPT is 1902140296. It was assigned on November 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason A Decesari, PT, DPT?

Dr. Jason A Decesari, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01471400.

Where does Dr. Jason A Decesari, PT, DPT practice?

The practice location is 200 Tuckerton RD, Suite 17, Medford, NJ 08055-8806. The office can be reached at 856-396-2250 (phone) or 856-810-0373 (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 1902140296 directly on the NPPES registry website.

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