Brittany Van Sickle, ATC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

31-00 Broadway Ste 3
Fair Lawn, NJ 07410-3963

Phone

(908) 451-2539

Fax

(908) 336-1567

NPI assigned

Jul 20, 2017

Sex

Female

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medpro Wellness LLC

  • Health Educator
  • Fair Lawn, NJ
  • NPI 1457881450
  NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1114440286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38A BURNSIDE AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY STE 3",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103963",
            "telephone_number": "908-451-2539",
            "fax_number": "908-336-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SICKLE",
        "first_name": "BRITTANY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Urena, LCSW
• Urology Specialty Care PA
• Pasqua 'Patty' Uykan, M.S, CCC-SLP
• Nicole Marie Valentine
• Sailaja Devi Valiveti, MD
• Vanaja Associates MD,P.C
• Brian Peter Vangrouw, D.O.
• Justin Peter Vangrouw
• Vantage Medical Associates NJ PC
• Regina Mathai Varghese

• Health Educator in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Health Educator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.