Ripley Sago

Individual provider Active NPI Athletic Trainer · South River, NJ

NPI 1043920580 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1043920580
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
68 Garwood St
South River, NJ 08882-1135
Phone
(917) 753-5590
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

68 Garwood St
South River, NJ 08882-1135

Mailing address

68 Garwood St
South River, NJ 08882-1135
Phone (917) 753-5590

Other providers in South River, NJ

All providers in South River, NJ · Athletic Trainer in New Jersey

Sources for this page

Verify at the official NPI Registry.