Individual provider Active NPI

Karen Korbul, MS, ATC, CSCS

  • Athletic Trainer
  • Annandale, NJ
National Provider Identifier
1134499502
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00026300 Issued in NJ
Practice address
1445 Route 31
Annandale, NJ 08801-3117
Phone
(908) 713-4199
Fax
(908) 713-4403
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 25MT00026300 NJ Primary

Addresses

Primary practice location

1445 Route 31
Annandale, NJ 08801-3117

Mailing address

1445 Route 31
Annandale, NJ 08801-3117
Phone (908) 713-4199

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MT00026300NJMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
North Hunterdon Voorhees Regional High School District Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1134499502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 ROUTE 31",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013117",
            "telephone_number": "908-713-4199",
            "fax_number": "908-713-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 ROUTE 31",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013117",
            "telephone_number": "908-713-4199",
            "fax_number": "908-713-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBUL",
        "first_name": "KAREN",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00026300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.