Douglas Dzema Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

50 Williams Pkwy Ste D
East Hanover, NJ 07936-2110

Phone

(973) 585-6008

NPI assigned

Aug 21, 2021

Last updated

Jan 20, 2022By the provider in NPPES

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, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prestige Rehab LLCGroup PAC ID 3375936495, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: douglas.dzema.1@1798.direct.athenahealth.com

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.

• Prestige Rehab LLC

  • Physical Therapist
  • Colts Neck, NJ
  • NPI 1750032553

  NY

  Medicare reassignment Care Compare group NPD
• Prestige Rehab Ny LLC

  • Physical Therapist
  • New York, NY
  • NPI 1649005778
  NPD

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1922774611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WILLIAMS PKWY STE D",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079362110",
            "telephone_number": "973-585-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WILLIAMS PKWY STE D",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079362110",
            "telephone_number": "973-585-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZEMA",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Bauzil Dolisca, NP
• William Domke II
• Mary Theresa Downey-Freiman, RN MSN OCN
• Dr. Joseph L. Cavallo, OD
• Nicholas Dugan
• East Hanover Chiropractic & Wellness LLC
• East Hanover Family Dental
• Joyce Ann Echo, PH.D.
• Ejs Dental LLC
• Sara Marit Elizondo, PT

• Physical Therapist in East Hanover, NJ
• Providers in East Hanover, 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 Jan 20, 2022; 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.