Active NPI
Peter Desvousges, DPT
- Physical Therapist
- Somerset, NJ
National Provider Identifier
1649750308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01806600
- Practice address
- 900 Easton Ave Ste 22
Somerset, NJ 08873-1760 - Phone
- (732) 846-9400
- Fax
- (732) 846-9404
- NPI assigned
- Aug 21, 2018
- Last updated
- Aug 21, 2018
- 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 | 40QA01806600 | NJ | Primary |
Addresses
Primary practice location
900 Easton Ave Ste 22
Somerset, NJ 08873-1760
Mailing address
900 Easton Ave Ste 22
Somerset, NJ 08873-1760
Phone (732) 846-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01806600 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1649750308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 EASTON AVE STE 22",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731760",
"telephone_number": "732-846-9400",
"fax_number": "732-846-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 EASTON AVE STE 22",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731760",
"telephone_number": "732-846-9400",
"fax_number": "732-846-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESVOUSGES",
"first_name": "PETER",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01806600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
- Bijal Desai, MD
- Parul J Desai
- Rohan G Desai, PHARM.D.
- Sameer P Desai, MD
- Destination Dental Care, LLC
- Patricia Deutsch, OTR/L
- Joan Develder, MSW
- Developmental Disabilities Association of New Jersey Inc.
- Developmental Dsiabilities Association of New Jersey Inc
- Devereux Foundation (Devereux Advanced Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.