Active NPI
Joanne Molochnick, A.T.C.R.L.
- Athletic Trainer
- Manville, NJ
National Provider Identifier
1073623922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT000234000
- Practice address
- 1100 Brooks Blvd
Manville, NJ 08835-1542 - Phone
- (908) 231-8505
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT000234000 | NJ | Primary |
Addresses
Primary practice location
1100 Brooks Blvd
Manville, NJ 08835-1542
Mailing address
82 Aylin St
Metuchen, NJ 08840-1226
Phone (732) 548-0231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | NJ | A.T.C.R |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT000234000 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073623922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 AYLIN ST",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088401226",
"telephone_number": "732-548-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BROOKS BLVD",
"city": "MANVILLE",
"state": "NJ",
"postal_code": "088351542",
"telephone_number": "908-231-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLOCHNICK",
"first_name": "JOANNE",
"name_prefix": "Miss",
"credential": "A.T.C.R.L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT000234000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "A.T.C.R",
"identifier": "22",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.