Margaret Ellen Doherty, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00025700 Issued in NJ

Practice address

272 Berdan Ave
Wayne Hills High School
Wayne, NJ 07470-3240

Phone

(973) 633-3194

Fax

(973) 633-3114

NPI assigned

Jul 21, 2006

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

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497776223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FERNDALE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707407",
            "telephone_number": "973-694-2189",
            "fax_number": "973-633-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BERDAN AVE",
            "address_2": "WAYNE HILLS HIGH SCHOOL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703240",
            "telephone_number": "973-633-3194",
            "fax_number": "973-633-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "MARGARET",
        "middle_name": "ELLEN",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00025700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Dircks
• Francheska Dirocie
• Laura Ann Dispenzere, LAC
• Krizelda Dizon
• DK Physical Therapy
• Eren Doko
• Steven W. Domnitz, M.D.
• Trisha Donovan, RDN
• Stephan Joseph Dorkhom, D.O.
• Poonam V Doshi, LPC, NCC, CCMHC

• Athletic Trainer in Wayne, NJ
• Providers in Wayne, 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 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.

Verify at the official NPI Registry.