Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Thomas Disomma

Individual provider Physical Therapist · NPI 1386157121

Nicholas Thomas Disomma is a Physical Therapist in Private Practice in Riverdale, New Jersey. Qualified in 2017, 9 years ago. Practices with Montville Physical Therapy, PC, a 14-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
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Practice location Address checks out

69 Newark Pompton Tpke
Riverdale, NJ 07457-1426
Phone: (973) 248-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01764400 (NJ)

Record details

NPI number1386157121
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2017
Last updated in NPPESNovember 15, 2017
Mailing address194 Edison Rd, Sparta, NJ 07871-3848

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Montville Physical Therapy, Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Riverdale