Joseph Frasciello, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00206000 Issued in NJ

Practice address

63 Mount Pleasant Ave
East Hanover, NJ 07936-2612

Phone

(973) 887-0300

NPI assigned

Mar 17, 2020

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

Electronic endpoints 1

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1669008132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MOUNT PLEASANT AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079362612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MOUNT PLEASANT AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079362612",
            "telephone_number": "973-887-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASCIELLO",
        "first_name": "JOSEPH",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00206000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jfrasciello@hpreg.org",
            "affiliation": "N",
            "address_1": "Hanover Park High School 63 mount pleasant ave",
            "city": "east hanver",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Athletic Trainer in East Hanover, NJ
• Providers in East Hanover, 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 Mar 17, 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.