Tanya M Dargusch, ATC/LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00026200 Issued in NJ

Practice address

529 Hurffville Crosskeys Rd
11-12 Wing
Sewell, NJ 08080-2831

Phone

(856) 589-8500

Fax

(856) 259-8924

NPI assigned

Aug 20, 2005

Sex

Female

Sole proprietor

No

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": "1124496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1407848856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 UPTON WAY",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803619",
            "telephone_number": "856-227-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 HURFFVILLE CROSSKEYS RD",
            "address_2": "11-12 WING",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802831",
            "telephone_number": "856-589-8500",
            "fax_number": "856-259-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGUSCH",
        "first_name": "TANYA",
        "middle_name": "M",
        "credential": "ATC/LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-20",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00026200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jonathan Danner, D.M.D.
• Elizabeth Ann Danovich, MS, OTR/L
• Yvonne Dansoa, D.O.
• Abbe Dantzig, OT
• Edward Jude Danzi, N.C.M.T
• Grace Davenport
• David M. Ringel, DO PA
• Cynthia Lynn Davidson, LCSW
• Bryan F Davis, D.O.
• Sarah Davis, M.D.

• Athletic Trainer in Sewell, NJ
• Providers in Sewell, 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 16, 2013; 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.