Active NPI
Timothy Patrick Coyne, ATC
- Athletic Trainer
- Pennington, NJ
National Provider Identifier
1417983453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00041100
- Practice address
- 425 S Main St
Hopewell Valley Regional School District
Pennington, NJ 08534-2716 - Phone
- (609) 737-4000
- Fax
- (609) 737-2947
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00041100 | NJ | Primary |
Addresses
Primary practice location
425 S Main St
Hopewell Valley Regional School District
Pennington, NJ 08534-2716
Mailing address
7 Fairbanks PL
Lawrenceville, NJ 08648-4337
Phone (609) 777-9299
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00041100 | NJ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Valley Regional School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Pennington, NJ
- NPI 1992176770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417983453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 FAIRBANKS PL",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484337",
"telephone_number": "609-777-9299",
"fax_number": "609-777-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S MAIN ST",
"address_2": "HOPEWELL VALLEY REGIONAL SCHOOL DISTRICT",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342716",
"telephone_number": "609-737-4000",
"fax_number": "609-737-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYNE",
"first_name": "TIMOTHY",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00041100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- 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.