Active NPI
John Taggart
- Athletic Trainer
- Piscataway, NJ
National Provider Identifier
1629520267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00230600
- Practice address
- 83 Rockafeller Rd
Louis Brown Athletic Center
Piscataway, NJ 08854-8053 - Phone
- (848) 932-6687
- NPI assigned
- Oct 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00230600 | NJ | Primary |
Addresses
Primary practice location
83 Rockafeller Rd
Louis Brown Athletic Center
Piscataway, NJ 08854-8053
Mailing address
313 Moonlight Dr
Piscataway, NJ 08854-2261
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00230600 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1629520267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 MOONLIGHT DR",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088542261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 ROCKAFELLER RD",
"address_2": "LOUIS BROWN ATHLETIC CENTER",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088548053",
"telephone_number": "848-932-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-31",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00230600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.