Michael Fidanza

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00297100 Issued in NJ

Practice address

144 NJ-34
Matawan, NJ 07747

Phone

(732) 316-5895

NPI assigned

Oct 30, 2026

Last updated

Oct 30, 2026By 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

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1093613812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 JOHNSON RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502903",
            "telephone_number": "718-702-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NJ-34",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "732-316-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDANZA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00297100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Elizabeth Felitti, M.S. CCC-SLP
• Shufang Feng, MD
• James G. Fennessy
• Meigan Fernandez, MA, LAC, NCC
• Thomas M Ferry
• Jasmine Fields
• Raquel Figueroa
• Andrew Charles Fink, DPT, CSCS
• Amy J Fischetti, M.S. CCC-SLP
• Valerie Fiske, OTR

• Athletic Trainer in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.