Lucas Steaphan Suydam, PT, DPT, LAT, ATC | |
2 City Hall Plz Ste 3023, Rahway, NJ 07065-5075 | |
(732) 381-3636 | |
Not Available |
Full Name | Lucas Steaphan Suydam |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2 City Hall Plz Ste 3023, Rahway, 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: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
---|---|
Lucas Steaphan Suydam, PT, DPT, LAT, ATC 2 City Hall Plz Ste 3023, Rahway, NJ 07065-5075 Ph: () - | Lucas Steaphan Suydam, PT, DPT, LAT, ATC 2 City Hall Plz Ste 3023, Rahway, NJ 07065-5075 Ph: (732) 381-3636 |
Miri Song, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 905 Ross St Apt C12, Rahway, NJ 07065 Phone: 480-208-6243 | |
Holsman Physical And Occupational Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065 Phone: 732-428-5566 Fax: 732-428-5513 | |
Cinderella Abdullah, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065 Phone: 732-428-5566 | |
Mr. Chirag D Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Saint Georges Ave, Rahway, NJ 07065 Phone: 732-388-4184 | |
Ms. Eleanor Enriquez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065 Phone: 732-428-5566 | |
Aniline Castillo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Saint Georges Ave Ste 107, Rahway, NJ 07065 Phone: 732-428-5566 |