Individual provider Active NPI

Erik John Salaria Deocera, DPT

  • Physical Therapist
  • Lawrenceville, NJ
National Provider Identifier
1659118412
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02257600 Issued in NJ
Practice address
3131 Princeton Pike
Building 4a Suite 100
Lawrenceville, NJ 08648
Phone
(609) 803-2429
Fax
(609) 896-3555
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 40QA02257600 NJ Primary

Addresses

Primary practice location

3131 Princeton Pike
Building 4a Suite 100
Lawrenceville, NJ 08648

Mailing address

3131 Princeton Pike
Building 4a Suite 100
Lawrenceville, NJ 08648
Phone (609) 803-2429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815000307 NJ Practitioner - Physical Therapist in Private Practice 6204374796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Sports and Family Medicine, P.C.Group PAC ID 4587710793, 16 clinicians

Practice addresses (Care Compare)

3131 Princeton Pike
BLDG 4a
Lawrenceville, NJ 08648-2201
Phone (609) 896-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Sports and Family Medicine, P.C. Physical Therapist CurrentSince Jul 25, 2024 Accepting new patients

Locations

3131 Princeton Pike
Bldg 4
Lawrenceville, NJ 08648
Phone (609) 896-4128

3131 Princeton Pike
Bldg 4A
Lawrenceville, NJ 08648
Phone (609) 896-9190

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHEFBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1659118412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 4A SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-803-2429",
            "fax_number": "609-896-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 PRINCETON PIKE",
            "address_2": "BUILDING 4A SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-803-2429",
            "fax_number": "609-896-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOCERA",
        "first_name": "ERIK",
        "middle_name": "JOHN SALARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02257600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.