Individual provider Active NPI

Diagelia Nervez, PT

  • Physical Therapist
  • Somerset, NJ
National Provider Identifier
1366468076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00731700 Issued in NJ
Practice address
390 Bennetts LN
Somerset, NJ 08873-7707
Phone
(732) 545-2222
Fax
(732) 568-0663
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA00731700 NJ Primary

Addresses

Primary practice location

390 Bennetts LN
Somerset, NJ 08873-7707

Mailing address

PO Box 5703
Somerset, NJ 08875-5703
Phone (848) 565-7472

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000128 NJ Practitioner - Physical Therapist in Private Practice 4082618814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultracare Home Therapy Services IncGroup PAC ID 2264436195, 5 clinicians
Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Practice addresses (Care Compare)

390 Bennetts LN
Somerset, NJ 08873-7707
Phone (844) 595-5217

70 S Orange Ave
Suite 220
Livingston, NJ 07039-4920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00731700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultracare Home Therapy Services, Inc. Physical Therapist CurrentSince Jun 6, 2006 Accepting new patients
Life Home Therapy LLC Physical Therapist CurrentSince Sep 19, 2025 Accepting new patients

Locations

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366468076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5703",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088755703",
            "telephone_number": "848-565-7472",
            "fax_number": "732-568-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BENNETTS LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737707",
            "telephone_number": "732-545-2222",
            "fax_number": "732-568-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERVEZ",
        "first_name": "DIAGELIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00731700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.