Individual provider Active NPI

Douglas Warren Dul, DPT

  • Physical Therapist
  • Dover, NJ
National Provider Identifier
1427337658
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01400400 Issued in NJ
Practice address
600 Mount Pleasant Ave
Suite F
Dover, NJ 07801-1629
Phone
(973) 366-4000
Fax
(973) 366-4998
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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 40QA01400400 NJ Primary

Addresses

Primary practice location

600 Mount Pleasant Ave
Suite F
Dover, NJ 07801-1629

Mailing address

600 Mount Pleasant Ave
Suite F
Dover, NJ 07801-1629
Phone (973) 366-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000383 NJ Practitioner - Physical Therapist in Private Practice 0648438846 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Health Physical Therapy of Long Valley, PC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Maximum Health Physical Therapy LLC Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Activecare Physical Therapy LLC Physical Therapist CurrentSince Jan 2, 2012 Accepting new patients

Locations

197 US Highway 46
Budd Lake, NJ 07828
Phone (973) 347-0500

600 Mount Pleasant Ave
Ste F
Dover, NJ 07801
Phone (973) 366-4000

62 E Mill Rd
Ste A2
Long Valley, NJ 07853
Phone (908) 520-2377

Organizations & group practices 3

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1427337658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVE",
            "address_2": "SUITE F",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011629",
            "telephone_number": "973-366-4000",
            "fax_number": "973-366-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOUNT PLEASANT AVE",
            "address_2": "SUITE F",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011629",
            "telephone_number": "973-366-4000",
            "fax_number": "973-366-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUL",
        "first_name": "DOUGLAS",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01400400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.