Deborah Jean Ankelein, B.A.,M.S., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00075100 Issued in NJ

Practice address

94 Brown Ave
Prospect Park, NJ 07508-2018

Phone

(973) 790-7909

Fax

(973) 790-3536

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184735128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAINES LN",
            "city": "HARDWICK",
            "state": "NJ",
            "postal_code": "078259617",
            "telephone_number": "201-281-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BROWN AVE",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082018",
            "telephone_number": "973-790-7909",
            "fax_number": "973-790-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKELEIN",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "B.A.,M.S., ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00075100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.