Individual provider Active NPI

Michele M Demartino, ATC

  • Athletic Trainer
  • Millburn, NJ
National Provider Identifier
1689959975
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
235 Millburn Ave
Suite 102
Millburn, NJ 07041-1738
Phone
(973) 258-1177
Fax
(973) 258-8181
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

235 Millburn Ave
Suite 102
Millburn, NJ 07041-1738

Mailing address

235 Millburn Ave
Suite 102
Millburn, NJ 07041-1738
Phone (973) 258-1177

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopaedics, P.a. PastSince Jul 1, 1997 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1689959975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MILLBURN AVE",
            "address_2": "SUITE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411738",
            "telephone_number": "973-258-1177",
            "fax_number": "973-258-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MILLBURN AVE",
            "address_2": "SUITE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411738",
            "telephone_number": "973-258-1177",
            "fax_number": "973-258-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTINO",
        "first_name": "MICHELE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.