Jennifer Chimienti, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000525-1 Issued in NY

Practice address

380 Old Town Rd
East Setauket, NY 11733-3482

Phone

(631) 730-4197

Fax

(631) 730-4340

NPI assigned

Jan 7, 2016

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1376909366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 S OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723701",
            "telephone_number": "516-528-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 OLD TOWN RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333482",
            "telephone_number": "631-730-4197",
            "fax_number": "631-730-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMIENTI",
        "first_name": "JENNIFER",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000525-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khurram Mahmood Chaudhary, M.D.
• Julie Cherian, M.D.
• Nicole Cherlin, LMSW
• David A. Chesler, MD, PHD
• Cha Chiang, RN
• Jennifer Hearhan Choi, DO
• Florence Christie, N.P.
• Christina Stern Nurse Practitioner in Psychiatry P.C.
• Dimitrios Christoforou, M.D.
• Emanuel Demetrios Chryssos, M.D.

• Athletic Trainer in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.