Active NPI
Erica Stephanie Simone, ATC, OTC
- Athletic Trainer
- Wayne, NJ
National Provider Identifier
1447668041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 820
- Practice address
- 504 Valley Rd
Suite 200
Wayne, NJ 07470-3534 - Phone
- (973) 291-1980
- Fax
- (973) 694-2692
- NPI assigned
- Jul 27, 2014
- Last updated
- Jul 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 820 | CT | Primary |
Addresses
Primary practice location
504 Valley Rd
Suite 200
Wayne, NJ 07470-3534
Mailing address
150 Southfield Ave
1408
Stamford, CT 06902-7756
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406419200000",
"number": "1447668041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SOUTHFIELD AVE",
"address_2": "1408",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069027756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 VALLEY RD",
"address_2": "SUITE 200",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703534",
"telephone_number": "973-291-1980",
"fax_number": "973-694-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONE",
"first_name": "ERICA",
"middle_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "ATC, OTC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-27",
"last_updated": "2014-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.