Dennis Waite, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01863400 Issued in NJ

Practice address

325 Maple Ave
Red Bank, NJ 07701-2104

Phone

(732) 741-1119

NPI assigned

Jul 2, 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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DB Orthopedic Physical Therapy, PCGroup PAC ID 3870655228, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• DB Orthopedic Physical Therapy, PC

  • Physical Therapist
  • Red Bank, NJ
  • NPI 1619133618
  Medicare reassignment Care Compare group NPD
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1861054553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012104",
            "telephone_number": "732-741-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012104",
            "telephone_number": "732-741-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01863400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Christopher Vockroth, D.M.D.
• Semyon Volman, AC
• Zelda Wachman, MD
• Miles Wagman, MSW, LCSW, LMFT
• Melinda Wagner, DMD
• Walgreen Co
• Walgreen Co .
• Carole A Wallace, D.D.S.
• Jasmine Alicia Wallace, B.S.
• Edna Ruth Walsh, MSW LCSW

• Physical Therapist in Red Bank, NJ
• Providers in Red Bank, 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 2, 2019; 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.