Active NPI
Darren R Vukovic, ATC
- Athletic Trainer
- North Tonawanda, NY
National Provider Identifier
1730508607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002241-1
- Practice address
- 405 Meadow Dr
North Tonawanda, NY 14120-2817 - Phone
- (716) 807-3608
- NPI assigned
- Apr 8, 2014
- 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 | 002241-1 | NY | Primary |
Addresses
Primary practice location
405 Meadow Dr
North Tonawanda, NY 14120-2817
Mailing address
280 Homestead Dr
North Tonawanda, NY 14120-1645
Phone (716) 541-4956
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 |
|---|---|---|---|
| 002241-1 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1730508607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 HOMESTEAD DR",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141201645",
"telephone_number": "716-541-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MEADOW DR",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202817",
"telephone_number": "716-807-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUKOVIC",
"first_name": "DARREN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002241-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.