Nicholas Mullery, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

100 Bauer Dr
Oakland, NJ 07436-3105

Phone

(201) 651-0121

NPI assigned

Jul 24, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rehability Sports Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Freehold, NJ
  • NPI 1851935837

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1679127013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SILVERCREST DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077123144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAUER DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363105",
            "telephone_number": "201-651-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLERY",
        "first_name": "NICHOLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Lynn Moran
• Richard Morski, MD
• Morton Recovery & Performance LLC
• Mountainview Medical Group PC
• Anup Muduli, DMD
• Rathamani Muthusamy, DNP
• Vanessa Narwani, MD, MS
• Inga Nastaskin, LMSW, BCBA
• Areeba Nayyer, MD
• Jolanta Nef, DPT

• Physical Therapist in Oakland, NJ
• Providers in Oakland, 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 Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.