Individual provider Active NPI

Diana Zullo, DPT

  • Physical Therapist
  • Tinton Falls, NJ
National Provider Identifier
1073397949
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02203200 Issued in NJ
Practice address
656 Shrewsbury Ave Ste 103
Tinton Falls, NJ 07701-4964
Phone
(732) 842-4198
Fax
(732) 842-4112
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02203200 NJ Primary

Addresses

Primary practice location

656 Shrewsbury Ave Ste 103
Tinton Falls, NJ 07701-4964

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 265-4606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02203200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Rehabilitation, LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients

Locations

340 State Route 34
Ste 210
Colts Neck, NJ 07722
Phone (732) 625-0170

4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

798 State Route 35
Middletown, NJ 07748
Phone (732) 533-5741

656 Shrewsbury Ave
Ste 103
Tinton Falls, NJ 07701
Phone (732) 842-4198

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1073397949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-265-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 SHREWSBURY AVE STE 103",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014964",
            "telephone_number": "732-842-4198",
            "fax_number": "732-842-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULLO",
        "first_name": "DIANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02203200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.