Active NPI
Sean Anthony Truesdell, ATC
- Athletic Trainer
- Sparta, NJ
National Provider Identifier
1841576170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00159600
- Practice address
- 105 N Church Rd
Sparta, NJ 07871-3203 - Phone
- (973) 383-6700
- Fax
- (973) 383-6951
- NPI assigned
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 25MT00159600 | NJ | Primary |
Addresses
Primary practice location
105 N Church Rd
Sparta, NJ 07871-3203
Mailing address
24 Scenic Dr
Fredon, NJ 07860-5318
Phone (973) 383-6700
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 |
|---|---|---|---|
| 25MT00159600 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1841576170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SCENIC DR",
"city": "FREDON",
"state": "NJ",
"postal_code": "078605318",
"telephone_number": "973-383-6700",
"fax_number": "973-383-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N CHURCH RD",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078713203",
"telephone_number": "973-383-6700",
"fax_number": "973-383-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDELL",
"first_name": "SEAN",
"middle_name": "ANTHONY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-01",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00159600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.