William Rutecky, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00122100 Issued in NJ

Practice address

7417 Kennedy Blvd
North Bergen, NJ 07047-4080

Phone

(201) 295-2839

NPI assigned

Feb 14, 2007

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

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285777953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 SUNNY SLOPE RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474080",
            "telephone_number": "201-295-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTECKY",
        "first_name": "WILLIAM",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00122100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noam Rosines, MD
• Dulce M Ruiz, AST
• Genesis Ruiz, APN
• Dominic Ruocco, MD
• Marc William Russo, MD
• Jihane Saade, NP
• Omar Sabuni, M.D.
• Jon E. Sadof, D.D.S.
• Lakshmi Bhargavi Sahini
• Rajdeep K Saini, M.D.

• Athletic Trainer in North Bergen, NJ
• Providers in North Bergen, 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 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.

Verify at the official NPI Registry.