Joseph John Camillone, ATC
Individual provider Active NPI Athletic Trainer · Ewing, NJ
NPI 1366478075 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1366478075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 25MT00000200 (NJ)
- Practice address
- 2000 Pennington Rd
The College of New Jersey
Ewing, NJ 08618-1104 - Phone
- (609) 771-2387
- Fax
- (609) 637-5101
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00000200 | NJ | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00000200 | NJ | Yes |
Addresses
Primary practice location
2000 Pennington Rd
The College of New Jersey
Ewing, NJ 08618-1104
Mailing address
64 Bayberry Rd
Ewing, NJ 08618-1028
Phone (609) 771-1393
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.