Individual provider Active NPI

Elizabeth Esposito, MS, LAT, ATC

  • Athletic Trainer
  • Union, NJ
National Provider Identifier
1629099452
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00136800 Issued in NJ
Practice address
1000 Morris Ave Ste 1
Union, NJ 07083-7131
Phone
(908) 737-0661
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 1898 FL
Athletic Trainer 2255A2300X 25MT00136800 NJ Primary

Addresses

Primary practice location

1000 Morris Ave Ste 1
Union, NJ 07083-7131

Mailing address

1932 Rutherford St
Rahway, NJ 07065-5305

Other practice location 1

10501 Fgcu Blvd S
Fort Myers, FL 33965-6565
Phone (239) 590-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AL 1898FLMDAthletic Trainer
25MT00136800NJMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1629099452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 RUTHERFORD ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MORRIS AVE STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837131",
            "telephone_number": "908-737-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10501 Fgcu Blvd S",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339656565",
            "country_code": "US",
            "telephone_number": "239-590-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "ELIZABETH",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1898",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00136800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.