Active NPI
Ric Jayson Dizon, PT
- Physical Therapist
- Vineland, NJ
National Provider Identifier
1083823223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA00853300
- Practice address
- 1045 E Chestnut Ave
Vineland, NJ 08360-5838 - Phone
- (856) 405-2530
- Fax
- (856) 696-5770
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QA00853300 | NJ | Primary |
Addresses
Primary practice location
1045 E Chestnut Ave
Vineland, NJ 08360-5838
Mailing address
513 Linda LN
Millville, NJ 08332-1777
Phone (856) 327-0995
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA00853300 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083823223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 LINDA LN",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083321777",
"telephone_number": "856-327-0995",
"fax_number": "856-327-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 E CHESTNUT AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605838",
"telephone_number": "856-405-2530",
"fax_number": "856-696-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "RIC",
"middle_name": "JAYSON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA00853300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.