Active NPI
David Haddad
- Physical Therapist
- Neptune City, NJ
National Provider Identifier
1548040645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01583800
- Practice address
- 23 Oak Ter
Neptune City, NJ 07753-6711 - Phone
- (908) 902-5822
- NPI assigned
- Oct 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01583800 | Primary |
Addresses
Primary practice location
23 Oak Ter
Neptune City, NJ 07753-6711
Mailing address
23 Oak Ter
Neptune City, NJ 07753-6711
Phone (908) 902-5822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229000069 | NJ | Practitioner - Physical Therapist in Private Practice | 0648615781 | Practice locations: Neptune City, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1548040645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 OAK TER",
"city": "NEPTUNE CITY",
"state": "NJ",
"postal_code": "077536711",
"telephone_number": "908-902-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 OAK TER",
"city": "NEPTUNE CITY",
"state": "NJ",
"postal_code": "077536711",
"telephone_number": "908-902-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-05",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "40QA01583800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neptune City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.