Marc Perdomo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01364500 Issued in NJ

Practice address

116 Oceanport Ave
Little Silver, NJ 07739-1211

Phone

(732) 758-0002

Fax

(732) 219-0979

NPI assigned

Aug 11, 2010

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipta Clinical, LLCGroup PAC ID 0749456119, 126 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.

• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pearl Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Shrewsbury, NJ
  • NPI 1225630122
  Medicare reassignment NPD
• 3 Dimensional Physical Therapy - Pelvic Health LLC

  • Physical Therapist
  • Medford, NJ
  • NPI 1275348500
  NPD (past)
• Parker Creek Neurorehabilitation

  • Physical Therapy Clinic/Center
  • Little Silver, NJ
  • NPI 1740743467
  NPD (past)
• Sports Care and Physical Rehabilitation Inc.

  • Physical Therapist
  • Little Silver, NJ
  • NPI 1467577155
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1548575822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OCEANPORT AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391211",
            "telephone_number": "732-758-0002",
            "fax_number": "732-219-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OCEANPORT AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391211",
            "telephone_number": "732-758-0002",
            "fax_number": "732-219-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01364500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Patel, DNP, FNP-C
• Stacy Lynn Paul, LCSW
• Matthew David Pecoraro, PT, DPT
• Peninsula Counseling and Therapy
• Justin N. Penn, DPT
• Zachary K Perlman, D.O.
• Nicholas Perosi, M.D.
• Peter T Hetzler MD Facs LLC
• Anita Marie Pfisterer, L.C.S.W.
• Daniel Jude Diego Pinto, DO

• Physical Therapist in Little Silver, NJ
• Providers in Little Silver, 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 Aug 11, 2010; 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.