Healthcare Provider Details

I. General information

NPI: 1841122330
Provider Name (Legal Business Name): MARY DLUGA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 MORRIS AVE STE 2
SUMMIT NJ
07901-1583
US

IV. Provider business mailing address

19 MARCONI ST APT 1
CLIFTON NJ
07013-2976
US

V. Phone/Fax

Practice location:
  • Phone: 908-731-6916
  • Fax:
Mailing address:
  • Phone: 862-414-1904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02416800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: