Jill P Snyder, ATC CERTIFIED ATHLET

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00004100 Issued in NJ

Practice address

44 Lakeside Ave
Pompton Lakes High School
Pompton Lakes, NJ 07442

Phone

(973) 835-7100

Fax

(973) 835-1054

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598985087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARDSCRABBLE ROAD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "10510",
            "telephone_number": "973-271-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LAKESIDE AVE",
            "address_2": "POMPTON LAKES HIGH SCHOOL",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "973-835-7100",
            "fax_number": "973-835-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JILL",
        "middle_name": "P",
        "credential": "ATC CERTIFIED ATHLET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00004100",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "1040000071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tinamarie Shea
• Joanne Cathleen Shields, LPC
• Timothy Joseph Slavin, LCADC
• Smile Li Dentistry LLC
• Smile Zone PC
• Grigoriy Soybelman, M.D.
• Amy Beth Steinfeld-Klein, MA, LCSW,CASAC
• Marjorie Lewis Steinfeld, PHD
• Jennifer Stratton, LCSW
• Jan Anton Trueno Su, MSN, APRN, FNP-BC

• Athletic Trainer in Pompton Lakes, NJ
• Providers in Pompton Lakes, 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.