Provider Demographics
NPI:1588811210
Name:DISCIENZA, JOSEPH (MPT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:DISCIENZA
Suffix:
Gender:
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 HURFFVILLE CROSSKEYS RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-4011
Mailing Address - Country:US
Mailing Address - Phone:856-286-4247
Mailing Address - Fax:856-629-3272
Practice Address - Street 1:243 HURFFVILLE CROSSKEYS RD STE 201
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4011
Practice Address - Country:US
Practice Address - Phone:856-286-4247
Practice Address - Fax:856-629-3272
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00815300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist