Individual provider Active NPI

Haim D Nesser, PT, DPT

  • Physical Therapist
  • Long Branch, NJ
National Provider Identifier
1356887517
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01707800 Issued in NJ
Practice address
251 Highland Ave
Long Branch, NJ 07740-4620
Phone
(732) 443-0045
Fax
(732) 305-2005
NPI assigned
Jan 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 40QA01707800 NJ Primary

Addresses

Primary practice location

251 Highland Ave
Long Branch, NJ 07740-4620

Mailing address

715 W Park Ave Unit 1059
Oakhurst, NJ 07755-8042
Phone (732) 443-0045

Other identifiers 1

IdentifierTypeStateIssuer
40QA01707800OtherNJPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307001774 NJ Practitioner - Physical Therapist in Private Practice 8224312483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01707800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Propel Rehabilitation & Wellness LLC Physical Therapist CurrentSince Oct 11, 2018 Accepting new patients

Locations

715 W Park Ave
Unit 1059
Oakhurst, NJ 07755

Organizations & group practices 1

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1356887517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W PARK AVE UNIT 1059",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077558042",
            "telephone_number": "732-443-0045",
            "fax_number": "732-305-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 HIGHLAND AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077404620",
            "telephone_number": "732-443-0045",
            "fax_number": "732-305-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSER",
        "first_name": "HAIM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-12",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01707800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "40QA01707800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.