Maikee Bernadette Migallos, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00214400 Issued in NJ

Practice address

400 Cedar Ave
West Long Branch, NJ 07764-1804

Phone

(732) 263-4473

NPI assigned

May 24, 2018

Sex

Female

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1831680818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NORWOOD AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641828",
            "telephone_number": "973-866-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CEDAR AVE",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641804",
            "telephone_number": "732-263-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGALLOS",
        "first_name": "MAIKEE",
        "middle_name": "BERNADETTE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00214400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey McElroy
• Christopher McKittrick, LPC
• Trishala Meghal, M.D.
• Lindsay Mehrkam
• Ashley White Messiha, PA-C
• Angela M Miller, M.D.
• Lauren Carrie Moczerniuk, PT, DPT
• Dennis Edgardo C Mojares Sr., M.D.
• Christian D Mojica, BCBA
• Marisol Roxana Mondaca, LPC, LCADC

• Athletic Trainer in West Long Branch, NJ
• Providers in West Long Branch, 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 May 24, 2018; 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.