Justin David Miloszewski, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00152300 Issued in NJ

Practice address

450 Erial Rd
Blackwood, NJ 08012-4583

Phone

(856) 227-4100

NPI assigned

Apr 20, 2010

Last updated

Apr 20, 2010By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1588980270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SOFIA DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080125357",
            "telephone_number": "856-435-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ERIAL RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124583",
            "telephone_number": "856-227-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOSZEWSKI",
        "first_name": "JUSTIN",
        "middle_name": "DAVID",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00152300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Blackwood, NJ
• Providers in Blackwood, 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 Apr 20, 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.