Active NPI
Sven Lilienthal, ATC
- Athletic Trainer
- Butler, NJ
National Provider Identifier
1093428260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00101600
- Practice address
- 38 Bartholdi Ave
Butler, NJ 07405-1494 - Phone
- (973) 492-2000
- NPI assigned
- Jan 3, 2023
- Last updated
- Jan 3, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 25MT00101600 | NJ | Primary |
Addresses
Primary practice location
38 Bartholdi Ave
Butler, NJ 07405-1494
Mailing address
4 Hillcrest Ter
Riverdale, NJ 07457-1623
Phone (973) 886-4301
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | svenlilienthal@butlerboe.org | Other |
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 |
|---|---|---|---|
| 25MT00101600 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1093428260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HILLCREST TER",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571623",
"telephone_number": "973-886-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 BARTHOLDI AVE",
"city": "BUTLER",
"state": "NJ",
"postal_code": "074051494",
"telephone_number": "973-492-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILIENTHAL",
"first_name": "SVEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00101600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "svenlilienthal@butlerboe.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "messaging",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "emails",
"address_1": "38 Bartholdi Ave",
"city": "Butler",
"state": "NJ",
"country_code": "US",
"postal_code": "074051494",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Butler, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.