Active NPI
Daniel J Dussman, PT CHT
- Physical Therapist
- Union City, NJ
National Provider Identifier
1558445155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QAO3536
- Practice address
- 584 32ND St
Union City, NJ 07087 - Phone
- (201) 601-0303
- Fax
- (201) 601-8040
- NPI assigned
- Oct 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QAO3536 | NJ | Primary |
| Hand Physical Therapist | 2251H1200X | QA03536 | NJ | |
| Orthopedic Physical Therapist | 2251X0800X | QA03536 | NJ |
Addresses
Primary practice location
584 32ND St
Union City, NJ 07087
Mailing address
584 32ND St
Union City, NJ 07087
Phone (201) 601-0303
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093910325 | Other | NJ | GROUP NPI |
| 11495500 | Other | NJ | ACS |
| HS084 | Other | NJ | OXFORD |
| 805683 | Other | NJ | UNITED HEALTH CARE |
| 142070002 | Other | NJ | UNIVERSITY HEALTH PLANS |
| 5689468 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
584 32ND St
Union City, NJ 07087-2434
Phone (201) 601-0303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QAO3536 | NJ | MD | Physical Therapist |
| QA03536 | NJ | MD | Hand Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Industrial Strength Fitness Wellness Center LLC | Physical Therapist | Current | Accepting new patients |
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
| Daniel J Dussman Dba Industrial Strength Fitness | Physical Therapist | Past | Accepting new patients |
Locations
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
584 32nd St
Union City, NJ 07087
Phone (201) 601-0303
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.
-
- Physical Therapy Clinic/Center
- Union City, NJ
- NPI 1003548835
Physical Therapist
-
- Physical Therapist
- Union City, NJ
- NPI 1093910325
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1558445155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 32ND ST",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "07087",
"telephone_number": "201-601-0303",
"fax_number": "201-601-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 32ND ST",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "07087",
"telephone_number": "201-601-0303",
"fax_number": "201-601-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSSMAN",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT CHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QAO3536",
"primary": true
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "NJ",
"license": "QA03536",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "QA03536",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1093910325",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "11495500",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "HS084",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "805683",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLANS",
"identifier": "142070002",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5689468",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, NJ
- Dr Maria a Campoalegre MD.PA
- Dr. Joselyn L. Estevez, OD & Associates LLC
- Dr. Saima Mian LLC (Gentle Family Dentistry)
- Duane Reade
- Chelsea Davis Dugan, M.S., CCC-SLP
- Maria A Dutkiewicz, RPH
- Dynamic Care Physical Therapy & Sports Medicine Inc
- Dynamic Physical Therapy & Sports Clinic
- East Hudson Medical Care of New Jersey, LLC
- Ekta Ishan Corp (Ez Smiles Family Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.