Diana Lazerson, PT
Individual provider Active NPI Specialist · Middlesex, NJ
NPI 1821263500 · NPPES record last updated Apr 24, 2008
Key facts
- NPI
- 1821263500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 40QA01111900 (NJ)
- Practice address
- 601 Bound Brook Rd
Middlesex, NJ 08846-2100 - Phone
- (732) 968-4422
- Fax
- (732) 968-3671
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | Accepting new patients | |
| Sports Physical Therapy of New York, P.C. | Past |
Accepting new patients | |
| New B E S T Somerset P C | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA01111900 | NJ | Yes |
Addresses
Primary practice location
601 Bound Brook Rd
Middlesex, NJ 08846-2100
Mailing address
185 Goldmine LN
Old Bridge, NJ 08857-3329
Phone (732) 416-8514
Other providers in Middlesex, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.