Elizabeth C Iadisernia, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01941600 Issued in NJ

Practice address

1801 Main St Ste 1B
Lake Como, NJ 07719-2972

Phone

(732) 256-1758

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mana Physical TherapyGroup PAC ID 1456648260, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mana Physical Therapy

  • Physical Therapist
  • East Brunswick, NJ
  • NPI 1982063160
  Care Compare group
• Prime Rehabilitation Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1801279054
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1316548753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MAIN ST STE 1B",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077192972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MAIN ST STE 1B",
            "city": "LAKE COMO",
            "state": "NJ",
            "postal_code": "077192972",
            "telephone_number": "732-256-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IADISERNIA",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01941600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene L. Griffin, M.T.
• Gulotta Chiropractic
• Gulotta Chiropractic
• Joseph James Gulotta, DC
• Laine W Happel, LPC
• John R Kohutanycz, PT, DPT
• Sean S. Lee, L.C.S.W.
• Joseph J Louro, D.C.
• Mental Healthcare Connections of New Jersey, LLC
• Moises Moris Jr.

• Physical Therapist in Lake Como, NJ
• Providers in Lake Como, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.