Robert John Jones, M.ED. , ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1112696 Issued in NY

Practice address

409 Aviation Rd
Queensbury, NY 12804-2913

Phone

(518) 824-4600

Fax

(518) 824-4682

NPI assigned

Nov 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1235895400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042913",
            "telephone_number": "518-824-4600",
            "fax_number": "518-824-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042913",
            "telephone_number": "518-824-4600",
            "fax_number": "518-824-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.ED. , ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "1112696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Queensbury",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Queensbury",
            "address_1": "409 Aviation Rd",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey J. Foss PT, PC
• Jeffrey Jenks, PSYD
• Rachael Jenks
• Kim Renee Johnson, L.M.H.C.
• Hilary Nocka Jones, ANP
• Tamara L Jones, MS, CCC-SLP
• Shawn P Jorgensen, MD
• Todd R Jorgensen, MD
• Helen F Joyce-Carodonna, MS, SLP
• David A Judkins, M.D.

• Athletic Trainer in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.