Brian Desmond

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01589900 Issued in NJ

Practice address

216 Old Tappan Rd
Old Tappan, NJ 07675

Phone

(201) 781-5700

NPI assigned

Apr 3, 2017

Last updated

Apr 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD
• Prime Rehabilitation Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1801279054
  NPD

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1700318250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 RIDGE AVE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561138",
            "telephone_number": "201-962-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-781-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01589900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana De Jesus, LCSW
• Arthur Robert De Siimone, M.D.
• Ann Marie Deangelo, MD
• Spero Evan Demoleas, D.P.M.
• Donna Maria Dephillips, M.D.
• Donna M. Dephillips Limited Liability Company
• Dynamic Mental Health Services, LLC
• Eating Disorder Medical Nutrition Therapy
• Elyse Marie Elisano
• Elizabeth L. Enriquez, RN

• Physical Therapist in Old Tappan, NJ
• Providers in Old Tappan, 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 Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.