| Lucas S Suydam, DPT | |
|
1050 Us Highway 1, Avenel, NJ 07001-1548 | |
| (732) 283-2663 | |
| (732) 283-2661 |
| Full Name | Lucas S Suydam |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1050 Us Highway 1, Avenel, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083307599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02172100 (New Jersey) | Primary |
| 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 | Orthonj Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720557432 PECOS PAC ID: 6800225178 Enrollment ID: O20200408000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas S Suydam, DPT 1050 Us Highway 1, Avenel, NJ 07001-1548 Ph: (732) 283-2663 | Lucas S Suydam, DPT 1050 Us Highway 1, Avenel, NJ 07001-1548 Ph: (732) 283-2663 |
Megan Varela, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1050 Us Highway 1, Avenel, NJ 07001 Phone: 732-283-2663 Fax: 732-283-2661 | |
Ms. Namrata Nimesh Dikshit, MAPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1030 Saint Georges Ave Ste Ll3, Avenel, NJ 07001 Phone: 732-404-1040 Fax: 732-404-1041 | |
Physical Therapy Center Of Woodbridge, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-750-9286 Fax: 732-750-9225 | |
Auroma Therapy Services,inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1030 Saint Georges Ave, Suit Ll3, Avenel, NJ 07001 Phone: 732-404-1040 Fax: 732-404-1041 | |
Anita Clara Pinto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Quality Care Physical Therapy, 415 Avenel Street, Avenel, NJ 07001 Phone: 848-467-4559 |