Doug Padron, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

089702581 Issued in NJ

Practice address

400 Cedar Avenue
Monmouth University
West Long Branch, NJ 07764-1898

Phone

(732) 571-3672

Fax

(732) 263-5265

NPI assigned

Jul 2, 2008

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1528221389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CEDAR AVENUE",
            "address_2": "MONMOUTH UNIVERSITY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641898",
            "telephone_number": "732-571-3672",
            "fax_number": "732-263-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CEDAR AVENUE",
            "address_2": "MONMOUTH UNIVERSITY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641898",
            "telephone_number": "732-571-3672",
            "fax_number": "732-263-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "DOUG",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "089702381",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "089702581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION NUMBER",
            "identifier": "089702581",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simisola Olugboji, MSW, LCSW
• Caitlyn Virginia Orrok, MS, CCC-SLP
• Orsini, Gilson & Miller MD, PC
• William J Orsini, M.D.
• Theodore A. Oshetsky, D.M.D.
• Gerlando V Parisi, M.D.
• Rinkal Patel
• Isabella Renee Pecoraro
• Pediatric and Adolescent Medicine
• Ezgi Pehlivan, PA-C

• Athletic Trainer in West Long Branch, NJ
• Providers in West Long Branch, 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 2, 2008; 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.