Individual provider Active NPI

Erich Vincent Polst, MSAT, LAT, ATC

  • Athletic Trainer
  • Old Bridge, NJ
National Provider Identifier
1013864396
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00354500 Issued in NJ
Practice address
300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628
Phone
(877) 532-7837
NPI assigned
Mar 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 25MT00354500 NJ Primary

Addresses

Primary practice location

300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1013864396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 315",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573628",
            "telephone_number": "877-532-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLST",
        "first_name": "ERICH",
        "middle_name": "VINCENT",
        "credential": "MSAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00354500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.