| Connor James Dering, | |
|
1 Greenwood Ave, Montclair, NJ 07042-3649 | |
| (973) 746-2424 | |
| (973) 746-5030 |
| Full Name | Connor James Dering |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 1 Greenwood Ave, Montclair, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124544259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01739600 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ivyrehab Network Inc | 3476539776 | 551 |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Professional Occupational & Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215487772 PECOS PAC ID: 3779873401 Enrollment ID: O20170118000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor James Dering, 77 Park Ave Apt 1614, Hoboken, NJ 07030-7116 Ph: (732) 977-1756 | Connor James Dering, 1 Greenwood Ave, Montclair, NJ 07042-3649 Ph: (973) 746-2424 |
Ms. Barbara Carol Foley, P.T., F.P. Physical Therapist Medicare: Medicare Enrolled Practice Location: 232 Grove St, Montclair, NJ 07042 Phone: 973-746-9415 | |
Shaun Astorga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-744-2770 | |
Ms. Laura Ann Crandall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Park St, Montclair, NJ 07043 Phone: 973-744-8205 | |
Ms. Suzanne Goodman, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19 Elm St, Montclair, NJ 07042 Phone: 973-798-6800 Fax: 973-798-6801 | |
David Kwon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Bloomfield Ave, Lower Level, Montclair, NJ 07042 Phone: 973-744-2770 | |
Michael Joseph Habersaat, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Greenwood Ave, Montclair, NJ 07042 Phone: 973-746-2424 | |
Ms. Jane Ellen Alsen, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Cambridge Rd, Montclair, NJ 07042 Phone: 973-746-1876 |