DR. LEONARD R DISLA (NPI# 1962787085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962787085 |
| Entity Type | Individual |
| Full Name | DR. LEONARD R DISLA |
| Credential | DPT |
| Practice Address |
246 Industrial Way W Eatontown NJ 07724-4240 |
| Practice Telephone | 7324552724 |
| Mailing Telephone | 7324552724 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01349800 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
246 INDUSTRIAL WAY W |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942299516 | Huaibao Sheng | Pathology | 246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240 | 2005-10-17 |
| 1407332794 | Elite Orthotics & Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 246 Industrial Way W, Eatontown, NJ 07724 | 2018-07-19 |
| 1609326966 | Pathology Solutions, LLC | Pathology | 246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240 | 2016-10-11 |
| 1164808481 | John Z Didomenico | Chiropractor | 246 Industrial Way W, Eatontown, NJ 07724-4240 | 2015-08-10 |
| 1275779894 | Miroslav Rade Radevic | Pathology | 246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240 | 2009-01-02 |
| 1518110899 | James Jay Flynn IIi | Internal Medicine | 246 Industrial Way W, Eatontown, NJ 07724-4240 | 2008-10-30 |
| 1639242928 | Linjun Xie | Pathology | 246 Industrial Way W, Suite 2, Eatontown, NJ 07724-4240 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467424 | Brittany Kranson | Physical Therapist | 1873 Route 70 E Ste 1, Cherry Hill, NJ 08003-2034 | 2020-11-06 |
| 1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
| 1871104463 | Katja Zeisler | Physical Therapist | 395 Grand St Fl 3, Jersey City, NJ 07302-4238 | 2020-08-16 |
| 1760007256 | Strongholistics, LLC | Physical Therapist | 105 Grove St Ste 14, Montclair, NJ 07042-4053 | 2020-06-10 |
| 1255951877 | Physiopros Physical Therapy & Wellness | Physical Therapist | 49 Overlook Rd, Morristown, NJ 07960-5805 | 2020-04-23 |
| 1730715038 | Sabrina Casares | Physical Therapist | 770 Lighthouse Dr Unit 170, Barnegat, NJ 08005-2373 | 2020-03-18 |
| 1750912820 | Brianna Carri, Pt, Dpt LLC | Physical Therapist | 32 Deanna Dr Apt 66, Hillsborough, NJ 08844-4851 | 2020-01-28 |
| 1265071187 | Ashley Mak Performance and Rehabilitation, PC | Physical Therapist | 1320 Adams St Ste B, Hoboken, NJ 07030-2370 | 2019-12-23 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.