Joseph N. Cataudella, MS. ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00250200 Issued in NJ

Practice address

19749 Boreal Ridge Rd
Soda Springs, CA 95728-9572

Phone

(732) 865-2146

NPI assigned

Apr 2, 2019

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1053873836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614848",
            "telephone_number": "732-865-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19749 BOREAL RIDGE RD",
            "city": "SODA SPRINGS",
            "state": "CA",
            "postal_code": "957289572",
            "telephone_number": "732-865-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATAUDELLA",
        "first_name": "JOSEPH",
        "middle_name": "N.",
        "credential": "MS. ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00250200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brown, PT, DPT
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• Joseph Iser, MD

• Athletic Trainer in Soda Springs, CA
• Providers in Soda Springs, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.