Individual provider Active NPI

Benjamin C Dosdos Jr., P.T.

  • Physical Therapist
  • Saddle Brook, NJ
National Provider Identifier
1093947806
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40QA01313900 Issued in NJ
Practice address
383 Market St
Suite B2
Saddle Brook, NJ 07663-5300
Phone
(201) 712-0009
Fax
(201) 712-0040
NPI assigned
Aug 12, 2009
Last updated
Aug 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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 PT40QA01313900 NJ Primary

Addresses

Primary practice location

383 Market St
Suite B2
Saddle Brook, NJ 07663-5300

Mailing address

383 Market St
Suite B2
Saddle Brook, NJ 07663-5300
Phone (201) 712-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000576 NJ Practitioner - Physical Therapist in Private Practice 7416093521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40QA01313900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Clifton Spine & Physical Therapy, LLC CurrentSince Jan 2, 2019 Accepting new patients

Locations

164 Brighton Rd
Clifton, NJ 07012
Phone (973) 778-3111

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1093947806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 MARKET ST",
            "address_2": "SUITE B2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635300",
            "telephone_number": "201-712-0009",
            "fax_number": "201-712-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 MARKET ST",
            "address_2": "SUITE B2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635300",
            "telephone_number": "201-712-0009",
            "fax_number": "201-712-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSDOS",
        "first_name": "BENJAMIN",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01313900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.