Active NPI
John Galvany, ATC
- Athletic Trainer
- Pompton Lakes, NJ
National Provider Identifier
1245385301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00054000
- Practice address
- 52 Center St
Pompton Lakes, NJ 07442-1912 - Phone
- (862) 377-1151
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 25MT00054000 | NJ | Primary |
Addresses
Primary practice location
52 Center St
Pompton Lakes, NJ 07442-1912
Mailing address
52 Center St
Pompton Lakes, NJ 07442-1912
Phone (862) 377-1151
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 |
|---|---|---|---|
| 25MT00054000 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245385301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 CENTER ST",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421912",
"telephone_number": "862-377-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CENTER ST",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421912",
"telephone_number": "862-377-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVANY",
"first_name": "JOHN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00054000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompton Lakes, NJ
- Four Directions Wellness Inc. (Four Directions Wellness)
- Barbara J Francavilla, LPC, LCADC
- Stephanie Valente Freitas
- Fuad a Ahmad MD PA
- Rosemarie Louise Gala, L.P.C.
- Garden State Neuro Stimulation LLC (Garden State Neuro)
- Maria Gerasimova, RN
- Larisa K Gershman, MD
- Laurel A Giegerich
- Margaret Ann Gill, LPC,
Sources for this page
- 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.