Active NPI
Philip A Slater
- Athletic Trainer
- Princeton Junction, NJ
National Provider Identifier
1649869892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1016
- Practice address
- 199 Hendrickson Dr
Princeton Junction, NJ 08550-1701 - Phone
- (609) 751-1864
- NPI assigned
- Jan 12, 2021
- Reactivated
- Nov 15, 2022
- 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 | 1016 | AR | Primary |
Addresses
Primary practice location
199 Hendrickson Dr
Princeton Junction, NJ 08550-1701
Mailing address
199 Hendrickson Dr
Princeton Junction, NJ 08550-1701
Phone (609) 751-1864
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 |
|---|---|---|---|
| 1016 | AR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1649869892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 HENDRICKSON DR",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085501701",
"telephone_number": "609-751-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 HENDRICKSON DR",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085501701",
"telephone_number": "609-751-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "PHILIP",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"deactivation_date": "2022-09-12",
"reactivation_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AR",
"license": "1016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton Junction, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.