Kyle Christopher D'Amico, DPT, COMT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

40QA01580700 Issued in NJ

Practice address

1 W Ridgewood Ave
Paramus, NJ 07652-2359

Phone

(201) 652-1415

NPI assigned

Nov 6, 2014

Last updated

Jul 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diagnostix Physical Therapy and RehabilitationGroup PAC ID 3971922568, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diagnostix Physical Therapy and Rehabilitation

  dba Diagnostix Physical Therapy

  • Physical Therapy Clinic/Center
  • Pompton Lakes, NJ
  • NPI 1871101956
  Medicare reassignment Care Compare group NPD Authorized official
• Pro Staff Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Nutley, NJ
  • NPI 1265750871
  Medicare reassignment NPD
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233
  Medicare reassignment NPD
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)
• St Josephs University Medical Center Inc.

  dba St. Joseph's University Medical Center Specialty Pharmacy

  • Community/Retail Pharmacy
  • Paterson, NJ
  • NPI 1477304541
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1194121814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 VISTA TER",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421476",
            "telephone_number": "201-247-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-652-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Vista Ter",
            "address_purpose": "LOCATION",
            "city": "Pompton Lakes",
            "state": "NJ",
            "postal_code": "074421476",
            "country_code": "US",
            "telephone_number": "201-247-5426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "197 Ridgedale Ave Ste 155",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079272111",
            "country_code": "US",
            "telephone_number": "973-605-5115",
            "fax_number": "973-605-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "KYLE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPT, COMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01580700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Cullen, LSW
• Winifred H Cunningham, MSW, LSW, LCADC
• Cristen Marilyn Cusumano, M.D.
• Ashley Czesak
• D & S Psychological Services LLC (Dr. Stephen Oreski & Associates)
• Lisa Rae D'Huyvetter, FNP
• Debra Renae Dacosta, LCSW
• Phillicia Dacosta, LAC
• Dadurian Dental Care P.C.
• Medina Diana Dadurian, D.M.D

• Physical Medicine & Rehabilitation Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.

Verify at the official NPI Registry.