Eugene Palatianos, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT0087600 Issued in NJ

Practice address

51 Conforti Ave
West Orange, NJ 07052-2829

Phone

(973) 669-5301

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1790373868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CONFORTI AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522829",
            "telephone_number": "973-669-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CONFORTI AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522829",
            "telephone_number": "973-669-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATIANOS",
        "first_name": "EUGENE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT0087600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline A Owens, M.D.
• Sara Paddock, MS OTR/L
• Kaylin Padovano
• Irene Venales Padre, NP
• Ashley Pais, MS, LAT, ATC
• Sadanand Sudhakar Palekar, MD
• Palisade Behavioral Care, PA
• Palmer Physical Therapy (Palmer Concierge Physical Therapy)
• Zakiyyah Lorraine Palmer
• Alan Palmere

• Athletic Trainer in West Orange, NJ
• Providers in West Orange, 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 Jan 5, 2021; 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.