Individual provider Active NPI

Ethan H Gato, MS, ATC, CSCS

  • Athletic Trainer
  • Piscataway, NJ
National Provider Identifier
1356034706
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00144400 Issued in NJ
Practice address
83 Rockafeller Rd
Piscataway, NJ 08854-8053
Phone
(732) 841-2896
NPI assigned
May 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 25MT00144400 NJ Primary

Addresses

Primary practice location

83 Rockafeller Rd
Piscataway, NJ 08854-8053

Mailing address

83 Rockafeller Rd
Piscataway, NJ 08854-8053
Phone (732) 841-2896

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

State licenses

LicenseStateTypeSpecialty
25MT00144400NJMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1356034706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ROCKAFELLER RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548053",
            "telephone_number": "732-841-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ROCKAFELLER RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548053",
            "telephone_number": "732-841-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATO",
        "first_name": "ETHAN",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00144400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.