Anthony Joseph Iadisernia, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01941700 Issued in NJ

Practice address

1 Main St Ste 505
Eatontown, NJ 07724-3903

Phone

(732) 493-3100

NPI assigned

Aug 20, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sea Girt Physical Medicine and Rehabilitation Associates, LLCGroup PAC ID 6608931647, 4 clinicians

New Jersey RehabilitationGroup PAC ID 5193220549, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sea Girt Physical Medicine and Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Manasquan, NJ
  • NPI 1407004195
  Medicare reassignment Care Compare group NPD
• New Jersey Rehabilitation

  • Multi-Specialty Clinic/Center
  • Shrewsbury, NJ
  • NPI 1013801604
  Medicare reassignment Care Compare group
• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment NPD
• Joint Physical Therapy and Sports Medicine LLC

  • Physical Therapist
  • Middletown, NJ
  • NPI 1295397073
  Medicare reassignment NPD
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD
• Pinnacle Rehabilitation & Sports Medicine,LLP

  • Orthopedic Physical Therapist
  • Brick, NJ
  • NPI 1356890529
  Medicare reassignment NPD
• Toms River Ambulatory Anesthesia LLC

  • Integrative Medicine Physician
  • Shrewsbury, NJ
  • NPI 1841540341
  Medicare reassignment NPD
• Ivyrehab Network Inc

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1861623753
  NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• Toms River Ambulatory Anesthesia LLC

  • Durable Medical Equipment & Medical Supplies
  • Manasquan, NJ
  • NPI 1700682515
  NPD
• Prime Rehabilitation Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1801279054
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1043822935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 505",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 505",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243903",
            "telephone_number": "732-493-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IADISERNIA",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01941700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Hughes, M.S.W, L.C.S.W
• Huntleigh Healthcare LLC
• Myung Hae Hyon, D.D.S.
• Hypertension & Nephrology Assoc PA
• I.V. Associates, Inc.
• Anzhelika Ihnatenko, OTR/L
• Matthew C Ihnken, LSW
• Alice Sherrington Imhof
• Kelvin Imhomoh
• Innovative Life of New Jersey

• Physical Therapist in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.