Active NPI
Jorden Arielle Nolan, ATC
- Athletic Trainer
- Warren, NJ
National Provider Identifier
1215320619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00196500
- Practice address
- 34 Mountain Blvd
Warren, NJ 07059-2640 - Phone
- (908) 222-0515
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00196500 | NJ | Primary |
Addresses
Primary practice location
34 Mountain Blvd
Warren, NJ 07059-2640
Mailing address
39 Northside Ave
South River, NJ 08882-1653
Phone (732) 613-1031
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00196500 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1215320619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 NORTHSIDE AVE",
"city": "SOUTH RIVER",
"state": "NJ",
"postal_code": "088821653",
"telephone_number": "732-613-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MOUNTAIN BLVD",
"city": "WARREN",
"state": "NJ",
"postal_code": "070592640",
"telephone_number": "908-222-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "JORDEN",
"middle_name": "ARIELLE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00196500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, NJ
- Neuroscience Assoc MD PA (Kavita Sinha MD)
- New Dawn Counseling Center, LLC
- New Jersey Podiatric Physicians & Surgeons Group, LLC (Affiliated Foot and Ankle Care)
- New Start Counseling, LLC
- Peter Yat NG, L. AC., C.A.
- Nora Nolan, PTA
- Mark Rory Norville
- Nourishing Minds Counseling Center LLC
- Sarah Nunn, LCSW
- Kathleen O'Reilly, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.