Active NPI
David Craig Heyel
- Athletic Trainer
- Pittsgrove, NJ
National Provider Identifier
1861065021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00036300
- Practice address
- 291 Lawrence Corner Rd
Pittsgrove, NJ 08318-2562 - Phone
- (856) 469-1639
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 25MT00036300 | NJ | Primary |
Addresses
Primary practice location
291 Lawrence Corner Rd
Pittsgrove, NJ 08318-2562
Mailing address
291 Lawrence Corner Rd
Pittsgrove, NJ 08318-2562
Phone (856) 469-1639
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 |
|---|---|---|---|
| 25MT00036300 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1861065021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 LAWRENCE CORNER RD",
"city": "PITTSGROVE",
"state": "NJ",
"postal_code": "083182562",
"telephone_number": "856-469-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 LAWRENCE CORNER RD",
"city": "PITTSGROVE",
"state": "NJ",
"postal_code": "083182562",
"telephone_number": "856-469-1639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYEL",
"first_name": "DAVID",
"middle_name": "CRAIG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00036300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsgrove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.