Individual provider Active NPI

James Michael McCrossin, ATC

  • Athletic Trainer
  • Voorhees, NJ
National Provider Identifier
1831274273
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT0090400 Issued in NJ
Practice address
601 Laurel Oak Rd
Voorhees, NJ 08043-4423
Phone
(856) 309-4416
Fax
(856) 309-4455
NPI assigned
Oct 26, 2006
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 25MT00090400 NJ
Athletic Trainer 2255A2300X 25MT0090400 NJ Primary

Addresses

Primary practice location

601 Laurel Oak Rd
Voorhees, NJ 08043-4423

Mailing address

338 87TH St
Stone Harbor, NJ 08247-1621
Phone (856) 309-4416

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

LicenseStateTypeSpecialty
25MT00090400NJMDPersonal Emergency Response Attendant
25MT0090400NJMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1831274273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 87TH ST",
            "city": "STONE HARBOR",
            "state": "NJ",
            "postal_code": "082471621",
            "telephone_number": "856-309-4416",
            "fax_number": "856-309-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434423",
            "telephone_number": "856-309-4416",
            "fax_number": "856-309-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROSSIN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NJ",
            "license": "25MT00090400",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT0090400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.