Tactical Athletic Training Institute

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

TACTICAL ATHLETIC TRAINING INSTITUTE

Practice address

200 Centennial Ave
Piscataway, NJ 08854-3950

Phone

(732) 794-3892

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Dylan Zera-Krushinski, ATCNPI 1790224319

Title

Clinic Manager

Phone

(732) 794-3892

Specialties & licenses 1

Addresses

Other names 1

• Tactical Athletic Training Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dylan Zera-Krushinski, LAT, ATC

  • Prevention Professional
  • Montclair, NJ
  • NPI 1790224319
  NPD Authorized official

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1093592826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TUNISON RD",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011633",
            "telephone_number": "732-794-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTENNIAL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543950",
            "telephone_number": "732-794-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL ATHLETIC TRAINING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "ZERA-KRUSHINSKI",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "732-794-3892",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tactical Athletic Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly Swenson
• Syed Consulting
• System 4 Living Well
• Irene Szaloczi, RN
• Isabel Long-Yin Szeto, LSW
• Cynthia Marie Taffet, RPH
• John Taggart
• Basirah Taha, CNS
• Salman Tahir-Hussain
• Kristy Nimyan Tam, DPT

• Rehabilitation Clinic/Center in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.