Thomas Alan Derosa Jr. (NPI# 1396005518, PAC ID# 5092967497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1396005518 |
| PAC ID by PECOS | 5092967497 |
| Professional Enrollment ID | I20121211000463 |
| Full Name | Thomas Alan Derosa Jr. |
| Organization Legal Name | JEFFERSON SPORTS AND PHYSICAL THERAPY PC |
| Address |
635 Belle Terre Rd Suite 104 Port Jefferson NY 11777-1984 |
| Phone Number | 6319282277 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6103963558 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 460 County Rd, 111 Unit 15, Manorville, NY 11949-3376 | 6319098712 | JEFFERSON SPORTS AND PHYSICAL THERAPY PC |
| 635 Belle Terre Rd, Suite 104, Port Jefferson, NY 11777-1984 | 6319282277 | JEFFERSON SPORTS AND PHYSICAL THERAPY PC |
| Organization Legal Name | JEFFERSON SPORTS AND PHYSICAL THERAPY PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Heim | Physical Therapy | Jefferson Sports and Physical Therapy PC | 635 Belle Terre Rd, Suite 104, Port Jefferson, NY 11777-1984 |
| Matthew Thomas Heim | Physical Therapy | Jefferson Sports and Physical Therapy PC | 635 Belle Terre Rd, Suite 104, Port Jefferson, NY 11777-1984 |
| Street Address |
635 BELLE TERRE RD SUITE 104 |
| City | PORT JEFFERSON |
| State | NY |
| Zip | 11777-1984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Mills Ii | Urology | Chs Physician Partners PC | 635 Belle Terre Rd, Suite 201, Port Jefferson, NY 11777-1982 |
| Brian J Heim | Physical Therapy | Jefferson Sports and Physical Therapy PC | 635 Belle Terre Rd, Suite 104, Port Jefferson, NY 11777-1984 |
| Jan S Miller | Oral Surgery | 635 Belle Terre Rd, Suite 103, Port Jefferson, NY 11777-1987 | |
| Scott M Press | Urology | Chs Physician Partners PC | 635 Belle Terre Rd, Suite 106, Port Jefferson, NY 11777-1984 |
| Matthew Thomas Heim | Physical Therapy | Jefferson Sports and Physical Therapy PC | 635 Belle Terre Rd, Suite 104, Port Jefferson, NY 11777-1984 |
| Daniah Gabrielle Jean-francois | Nurse Practitioner | North American Partners In Pain Management LLP | 635 Belle Terre Rd, Suite 203, Port Jefferson, NY 11777-1987 |
| Albert P Sagnella | Physical Therapy | Long Island Bone and Joint | 635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1995 |
| Joshua W Lopes | Physician Assistant | Long Island Bone and Joint | 635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1995 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Coladner | Physical Medicine and Rehabilitation | 6 Cove Ln, Port Jefferson, NY 11777-1103 | |
| Toni Derman | Clinical Social Worker | 33 Landing Lane, Port Jefferson, NY 11777-1106 | |
| Gabrielle Lofaso | Psychologist, Clinical | 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120 | |
| Ronald Fein | Clinical Social Worker | 19 Waterview Dr, Port Jefferson, NY 11777-1169 | |
| Constance E Schoenberg | Psychologist, Clinical | 201 E Broadway, Port Jefferson, NY 11777-1248 | |
| Marguerite F Metzendorf | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Dorothy M Lilly | Clinical Social Worker | 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400 | |
| Guy Anthony Koutouvidis | Clinical Social Worker | 14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400 | |
| Sharon Lyn Zariello | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Susan Prechtl-loper | Physical Therapy | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | |
| Find all physicians in zip 11777 | |||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PORT JEFFERSON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Thomas Alan Derosa Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.