Jason Robert Verdisco, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053306-01 Issued in NY

Practice address

405 E 75TH St
New York, NY 10021-3102

Phone

(646) 714-6850

NPI assigned

Dec 31, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New York Society for the Relief of Ruptured & Crippled Maintaining

  • Physical Therapist
  • New York, NY
  • NPI 1659604098
  NPD (past)
• New York Society for the Relief of Ruptured & Crippled Maintaining

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1447082003
  NPD (past)

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1114736592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PARK AVE APT 91",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442405",
            "telephone_number": "631-258-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E 75TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213102",
            "telephone_number": "646-714-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDISCO",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02291100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053306-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsea Verdi, LCSW
• Lemonier Verdier, M.D.
• Michelle Kate Verdiner, M.S., CCC-SLP
• Anthony Verdino, LCSW
• Michael P Verdirame, DO
• Timothy Leonard Verduin, PH.D.
• Leah Michelle Verebes, D.P.T.
• Vered M Frumer
• Brandon Michael Veremis, D.D.S.
• Victoria Ashleigh Veres, PA-C

• All providers in New York, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.