Marissa Radice, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

070802212 Issued in NJ

Practice address

17 Pleasant Ave
Belleville, NJ 07109-1329

Phone

(201) 407-8928

NPI assigned

Sep 16, 2010

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1528376191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PLEASANT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091329",
            "telephone_number": "201-407-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PLEASANT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091329",
            "telephone_number": "201-407-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICE",
        "first_name": "MARISSA",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "070802212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Pszonka, APN
• Mikako Pugliese
• Samuel Pujols, TRANSPORTATION
• Jenny Punnoose
• Kathleen Ann Quinn, P.A.
• Mohammed Ishfaqur Rahman, PA-C
• Yuvraj Raja
• Viswanath Ramaswamy, M.D.
• Imaan Ramjan, LSW
• Giancarlo Ramos, PHARM.D.

• Athletic Trainer in Belleville, NJ
• Providers in Belleville, 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 Sep 16, 2010; 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.