Active NPI
Adam Mourgas, ATC
- Athletic Trainer
- North Tonawanda, NY
National Provider Identifier
1477046316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003583
- Practice address
- 207 Taber PL
North Tonawanda, NY 14120-4370 - Phone
- (716) 803-9235
- NPI assigned
- Jun 13, 2018
- 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 | 003583 | NY | Primary |
Addresses
Primary practice location
207 Taber PL
North Tonawanda, NY 14120-4370
Mailing address
207 Taber PL
North Tonawanda, NY 14120-4370
Phone (716) 803-9235
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 |
|---|---|---|---|
| 003583 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1477046316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 TABER PL",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141204370",
"telephone_number": "716-803-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 TABER PL",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141204370",
"telephone_number": "716-803-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURGAS",
"first_name": "ADAM",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.