Active NPI
Dennis Liang, PT
- Physical Therapist
- Hackensack, NJ
National Provider Identifier
1942922893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA2128900
- Practice address
- 50 Main St
Hackensack, NJ 07601-7047 - Phone
- (512) 441-1113
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA2128900 | NJ | Primary |
Addresses
Primary practice location
50 Main St
Hackensack, NJ 07601-7047
Mailing address
2 City Hall PLZ Ste 302
Rahway, NJ 07065-5075
Phone (732) 381-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 S Van Brunt St
Suite 206
Englewood, NJ 07631-4600
Phone (201) 937-8215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA2128900 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capernum Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
401 S Van Brunt St
Englewood, NJ 07631
Phone (201) 567-1140
401 S Van Brunt St
Ste 206
Englewood, NJ 07631
Phone (201) 937-8215
Organizations & group practices 1
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.
-
- Physical Therapist
- Englewood, NJ
- NPI 1639917578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694304000000",
"number": "1942922893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CITY HALL PLZ STE 302",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070655075",
"telephone_number": "732-381-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MAIN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076017047",
"telephone_number": "512-441-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "DENNIS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-16",
"last_updated": "2023-09-10",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA2128900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.