Active NPI
Gladys May Casayuran Dizon
- Physical Therapist
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01914100
- Practice address
- 343 Thornall St Ste 510
Edison, NJ 08837-2224 - Phone
- (862) 333-8055
- NPI assigned
- Feb 28, 2020
- Last updated
- Jun 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J100040006 | DE | |
| Physical Therapist | 225100000X | 40QA01914100 | NJ | Primary |
Addresses
Primary practice location
343 Thornall St Ste 510
Edison, NJ 08837-2224
Mailing address
5 Manor Dr Apt 3N
Newark, NJ 07106-3236
Phone (862) 333-8055
Other practice location 1
5 Manor Dr Apt 3N
Newark, NJ 07106-3236
Phone (862) 333-8055
Electronic endpoints 8
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mdizon@theccmc.net | Direct | |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J100040006 | DE | MD | Physical Therapist |
| 40QA01914100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Theraphysical, LLC | Current | Accepting new patients | |
| Trinity Physical Therapy and Rehab Center PC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Way Rehab Services | Physical Therapist | Current | Accepting new patients |
| Theraphysical, LLC | Physical Therapist | Current | Accepting new patients |
Locations
305 Bayonne Crossing Way
Ste 101
Bayonne, NJ 07002
Phone (201) 778-2020
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
7 Carnegie Plz
Cherry Hill, NJ 08003
623 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 340-4656
2600 US Route 1
North Brunswick, NJ 08902
Phone (732) 444-2000
2 Hospital Dr
Plainsboro, NJ 08536
Phone (267) 249-5721
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
309 Fries Mill Rd
Ste 17
Sewell, NJ 08080
Phone (856) 589-7723
290 Broad St
Summit, NJ 07901
Phone (732) 994-3299
200 W 1st St
Ste 527
Roswell, NM 88203
Phone (575) 840-3879
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Lyndhurst, NJ
- NPI 1134463235
-
- Physical Therapist
- Bayonne, NJ
- NPI 1205509965
-
dba Roswell Therapy Specialist
- Occupational Therapist
- Roswell, NM
- NPI 1063929446
Physical Therapist
-
- Physical Therapist
- Garfield, NJ
- NPI 1821694670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1144854001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MANOR DR APT 3N",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071063236",
"telephone_number": "862-333-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 THORNALL ST STE 510",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372224",
"telephone_number": "862-333-8055"
}
],
"practiceLocations": [
{
"address_1": "5 Manor Dr Apt 3N",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071063236",
"country_code": "US",
"telephone_number": "862-333-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIZON",
"first_name": "GLADYS MAY",
"middle_name": "CASAYURAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J100040006",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01914100",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mdizon@theccmc.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5 Manor Dr Apt 3N",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "071063236",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "309 Fries Mill Rd Ste 17",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "080809209",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "7 Carnegie Plz",
"city": "Cherry Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080031000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "290 BROAD STREET, SAGE ELDERCARE",
"city": "SUMMIT",
"state": "NJ",
"country_code": "US",
"postal_code": "079013507",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "407 W Delilah Rd",
"city": "Pleasantville",
"state": "NJ",
"country_code": "US",
"postal_code": "082321207",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "872 E Main St",
"city": "Bridgewater",
"state": "NJ",
"country_code": "US",
"postal_code": "088073395",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2600 Route 1",
"city": "North Brunswick",
"state": "NJ",
"country_code": "US",
"postal_code": "089024305",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2 Hospital Dr",
"city": "Plainsboro",
"state": "NJ",
"country_code": "US",
"postal_code": "085362191",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.