Individual provider Active NPI

Catherine Colette Koenig, MS, LAT, ATC

  • Athletic Trainer
  • Bloomfield, NJ
National Provider Identifier
1235764937
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
170 Liberty St.
Bloomfield, NJ 07003-3494
Phone
(973) 748-9000
Fax
(973) 259-1085
NPI assigned
Mar 3, 2020
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 NU Primary

Addresses

Primary practice location

170 Liberty St.
Bloomfield, NJ 07003-3494

Mailing address

117 Hillcrest Ave
Edison, NJ 08817-3108
Phone (732) 718-4843

Other practice location 1

117 Hillcrest Ave
Edison, NJ 08817-3108
Phone (732) 718-4843

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Catherine_Koenig@Bloomfield.edu Direct Bloomfield College

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

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1235764937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HILLCREST AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173108",
            "telephone_number": "732-718-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LIBERTY ST.",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033494",
            "telephone_number": "973-748-9000",
            "fax_number": "973-259-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Hillcrest Ave",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088173108",
            "country_code": "US",
            "telephone_number": "732-718-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "CATHERINE",
        "middle_name": "COLETTE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Catherine_Koenig@Bloomfield.edu",
            "affiliation": "Y",
            "endpointDescription": "Bloomfield College Email",
            "affiliationName": "Bloomfield College",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "170 Liberty St.",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.