Jason Joseph Larson, M.ED., ATC, EMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00097100 Issued in NJ

Practice address

2500 Main St
Lawrenceville, NJ 08648-1600

Phone

(609) 895-2037

Fax

(609) 620-7634

NPI assigned

Apr 10, 2007

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

Credentials

Emergency Medical Technician, Master of Education

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194948232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6562",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086480562",
            "telephone_number": "609-620-7606",
            "fax_number": "609-620-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MAIN ST",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481600",
            "telephone_number": "609-895-2037",
            "fax_number": "609-620-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JASON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.ED., ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00097100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley B. Kussman, LPC
• William J Kustrup, MD
• Dario Vittorio La Rocca, M.D.
• Emily Lambert, LCSW
• Sandro Larocca, M.D.
• Radhika Laskarzewski, M.D.
• Norman B Lavinson, PHD
• Lawrence Assisted Living LLC
• Lawrence Dental Associates LLC
• Lawrence Gastroenterology, PA

• Athletic Trainer in Lawrenceville, NJ
• Providers in Lawrenceville, 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 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.