Robert Morong III, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1096 Issued in CT

Practice address

35 Woodsedge Dr
Apt 6B
Newington, CT 06111-4282

Phone

(207) 318-1052

NPI assigned

Nov 4, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Robbie Morong Other name

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1831641067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WOODSEDGE DR",
            "address_2": "APT 6B",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "207-318-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WOODSEDGE DR",
            "address_2": "APT 6B",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114282",
            "telephone_number": "207-318-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORONG",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBBIE",
            "last_name": "MORONG",
            "prefix": "MR.",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paige Montgomery
• Emanuel Morales, LMT
• Pamela Barbara Moran, RT
• Jennifer Morea, PT
• Mary F Morgan, APRN
• Diantha Morse, AUDIOLOGIST
• Rocio Mota
• Gabrielle Mouzon, LMFT
• Msda PLLC (Market Square Dental Associates)
• Maria Pia Munoz, LMFT

• Athletic Trainer in Newington, CT
• Providers in Newington, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.