Individual provider Active NPI

Thomas Vincent Dipaolo, DPT

  • Physical Therapist
  • Fanwood, NJ
National Provider Identifier
1306251830
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01553800 Issued in NJ
Practice address
193 Terrill Rd Ste B
Fanwood, NJ 07023-1018
Phone
(908) 288-7503
Fax
(908) 288-7420
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 40QA01553800 NJ Primary

Addresses

Primary practice location

193 Terrill Rd Ste B
Fanwood, NJ 07023-1018

Mailing address

193 Terrill Rd Ste B
Fanwood, NJ 07023-1018
Phone (908) 288-7503

Other practice location 1

1774 E 2nd St
Scotch Plains, NJ 07076-1708
Phone (908) 490-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908001574 NJ Practitioner - Physical Therapist in Private Practice 3779702675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Dipaolo LLCGroup PAC ID 0345593653, 2 clinicians

Practice addresses (Care Compare)

498 Inman Ave
Suite 200
Colonia, NJ 07067-1147
Phone (908) 612-9151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01553800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Dipaolo LLC Physical Therapist CurrentSince Sep 11, 2018 Accepting new patients
Wycoff-Nelson Physical Therapist PastSince Jun 29, 2023 Accepting new patients

Locations

498 Inman Ave
Ste 200
Colonia, NJ 07067
Phone (732) 587-5656

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306251830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 TERRILL RD STE B",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231018",
            "telephone_number": "908-288-7503",
            "fax_number": "908-288-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 TERRILL RD STE B",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231018",
            "telephone_number": "908-288-7503",
            "fax_number": "908-288-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1774 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Scotch Plains",
            "state": "NJ",
            "postal_code": "070761708",
            "country_code": "US",
            "telephone_number": "908-490-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPAOLO",
        "first_name": "THOMAS",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01553800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.