Nathan Matthew Cogdill, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00095100 Issued in NJ

Practice address

200 Schoolhouse Rd
Monroe, NJ 08831-3566

Phone

(732) 521-2882

NPI assigned

Jan 10, 2017

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2017.

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1124564596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LIBERTY LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732813",
            "telephone_number": "732-735-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SCHOOLHOUSE RD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088313566",
            "telephone_number": "732-521-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGDILL",
        "first_name": "NATHAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00095100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Monroe, NJ
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.