Nicholas Thomas Disomma

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01764400 Issued in NJ

Practice address

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426

Phone

(973) 248-8111

NPI assigned

Nov 15, 2017

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montville Physical Therapy, PCGroup PAC ID 0244398030, 14 clinicians

Paramus Orthopedic Physical Therapy,PCGroup PAC ID 2062642937, 11 clinicians

Wayne Orthopedic Physical Therapy, PCGroup PAC ID 5092850735, 9 clinicians

The New Jersey Center of Physical Therapy, PCGroup PAC ID 0042205023, 19 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 and National Provider Directory roles.

• Montville Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Montville, NJ
  • NPI 1467617795
  Medicare reassignment Care Compare group NPD
• Paramus Orthopedic Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Paramus, NJ
  • NPI 1326474081

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• The New Jersey Center of Physical Therapy, PC

  • Physical Therapist
  • Riverdale, NJ
  • NPI 1063508174
  Medicare reassignment Care Compare group NPD
• Wayne Orthopedic Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1114250057

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Balanced Body Rehabilitation LLC

  • Physical Therapist
  • Tenafly, NJ
  • NPI 1740690627
  Medicare reassignment NPD
• Paramus Orthopedic Physical Therapy

  • Preferred Provider Organization
  • Paramus, NJ
  • NPI 1588114680
  NPD (past)
• Wayne Foot and Ankle Center,PA

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1669519047
  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1386157121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 EDISON RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571426",
            "telephone_number": "973-248-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISOMMA",
        "first_name": "NICHOLAS",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01764400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Costagliola, SLP-CCC
• Cesar Daug, PT
• Marianne E Decastro, PT
• Lauren Dietz
• Raymond S Dimetrosky, D.ED.
• Susanna Dunscomb, OTR/L
• Ear, Nose, Throat and Facial Plastic Surgeons, P.a.
• Nicole I Eckert
• Michelle Eggart, NP
• Maria C Fajardo, PT

• Physical Therapist in Riverdale, NJ
• Providers in Riverdale, 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 Nov 15, 2017; 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.