Wayne Allan Wedderman Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00078400 Issued in NJ

Practice address

180 Bengal Blvd
Barnegat, NJ 08005-2159

Phone

(609) 660-7510

NPI assigned

Apr 21, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245296128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BENGAL BLVD.",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "08005",
            "telephone_number": "609-660-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BENGAL BLVD",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052159",
            "telephone_number": "609-660-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDERMAN",
        "first_name": "WAYNE",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00078400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Barnegat, NJ
• Providers in Barnegat, 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 13, 2026; 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.