Individual provider Active NPI

Daniel Steven Yousefzadeh, DPT

  • Physical Therapist
  • Lakewood, NJ
National Provider Identifier
1811297153
Registry record updated Dec 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4OQA01383200 Issued in NJ
Practice address
1539 Rockaway Rd
Lakewood, NJ 08701-3931
Phone
(917) 704-2367
NPI assigned
Nov 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 4OQA01383200 NJ
Physical Therapist 225100000X 4OQA01383200 NJ Primary

Addresses

Primary practice location

1539 Rockaway Rd
Lakewood, NJ 08701-3931

Mailing address

1539 Rockaway Rd
Lakewood, NJ 08701-3931
Phone (917) 704-2367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121217000008 NJ Practitioner - Physical Therapist in Private Practice 2668624842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1539 Rockaway Rd
Lakewood, NJ 08701-3931
Phone 73225097701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4OQA01383200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zada Rehab LLC Physical Therapist CurrentSince Jun 27, 2017 Accepting new patients
Reflect Communications LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients

Locations

1771 Madison Ave
Ste 8
Lakewood, NJ 08701
Phone (718) 400-8825

1200 River Ave
Ste 10C
Lakewood, NJ 08701
Phone (732) 534-6707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1811297153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 ROCKAWAY RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013931",
            "telephone_number": "917-704-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ROCKAWAY RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013931",
            "telephone_number": "917-704-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFZADEH",
        "first_name": "DANIEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "4OQA01383200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "4OQA01383200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; 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.