Individual provider Active NPI

David Carl Zuffelato, M.ED., ATC

  • Athletic Trainer
  • Florham Park, NJ
National Provider Identifier
1669509204
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00137700 Issued in NJ
Practice address
1 Jets Dr
New York Jets
Florham Park, NJ 07932-1215
Phone
(973) 549-4702
Fax
(973) 549-4708
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 2065 FL
Athletic Trainer 2255A2300X 001452-1 NY
Athletic Trainer 2255A2300X RT006961 PA
Athletic Trainer 2255A2300X 25MT00137700 NJ Primary

Addresses

Primary practice location

1 Jets Dr
New York Jets
Florham Park, NJ 07932-1215

Mailing address

1 Jets Dr
New York Jets
Florham Park, NJ 07932-1215
Phone (973) 549-4702

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 Education

State licenses

LicenseStateTypeSpecialty
AL 2065FLMDAthletic Trainer
25MT00137700NJMDAthletic Trainer
RT006961PAMDAthletic Trainer
001452-1NYMDLocal Education Agency (LEA)

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1669509204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JETS DR",
            "address_2": "NEW YORK JETS",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321215",
            "telephone_number": "973-549-4702",
            "fax_number": "973-549-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JETS DR",
            "address_2": "NEW YORK JETS",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321215",
            "telephone_number": "973-549-4702",
            "fax_number": "973-549-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUFFELATO",
        "first_name": "DAVID",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "M.ED., ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 2065",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001452-1",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006961",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00137700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; 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.