Robert Lee Baerman Jr., M.S., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00124100 Issued in NJ

Practice address

201 Kings Hwy
Woolwich Township, NJ 08085-5041

Phone

(856) 467-3300

Fax

(856) 467-0962

NPI assigned

Aug 24, 2006

Sex

Male

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kingsway Regional School District

  • Local Education Agency (LEA)
  • Woolwich TWP, NJ
  • NPI 1720423130
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1871600999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N PEARL ST",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121423",
            "telephone_number": "609-417-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KINGS HWY",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080855041",
            "telephone_number": "856-467-3300",
            "fax_number": "856-467-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERMAN",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.S., ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00124100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advoserv of New Jersey, Inc.
• Tierra J Brown, MSW, LCSW
• Jaclyn Cammarata, APN
• Center Square Plaza Supermarket, LLC (ShopRite Pharmacy Dept. #591)
• Jamie Michele Clement, APN
• Joseph Christopher Davis, RPH

• Athletic Trainer in Woolwich Township, NJ
• Providers in Woolwich Township, 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 Jan 5, 2010; 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.