Active NPI
Javier Garcia, DAT, LAT, ATC, SMTC
- Athletic Trainer
- North Bergen, NJ
National Provider Identifier
1770169112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00340600
- Practice address
- 7524 Kennedy Blvd
North Bergen, NJ 07047-4037 - Phone
- (201) 304-5917
- NPI assigned
- Mar 23, 2021
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 25MT00340600 | NJ | Primary |
Addresses
Primary practice location
7524 Kennedy Blvd
North Bergen, NJ 07047-4037
Mailing address
7524 Kennedy Blvd
North Bergen, NJ 07047-4037
Phone (201) 304-5917
Other practice location 1
400 S Orange Ave
South Orange, NJ 07079-2697
Phone (973) 761-9000
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 |
|---|---|---|---|
| 25MT00340600 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1770169112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7524 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070474037",
"telephone_number": "201-304-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7524 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070474037",
"telephone_number": "201-304-5917"
}
],
"practiceLocations": [
{
"address_1": "400 S Orange Ave",
"address_purpose": "LOCATION",
"city": "South Orange",
"state": "NJ",
"postal_code": "070792697",
"country_code": "US",
"telephone_number": "973-761-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "DAT, LAT, ATC, SMTC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00340600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
- Mark S Gabelman, MD
- Katherine Ann Gaeta, OTR/L
- Elizabeth Galvan
- Christina Marie Garcia
- Ivis Elizabeth Garcia, APN
- Garden State Anesthesia (palisades general medical center)
- Garden State Anesthesia Services, PA
- Garita Vision Center, LLC
- Eduardo Garita, D.M.D
- Garnet MJS LLC (Senior Helpers of Hoboken)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.