John Eric Bridenbaugh, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00044900 Issued in NJ

Practice address

83 Rockafeller Rd
Piscataway, NJ 08854-8053

Phone

(732) 445-7896

Fax

(732) 445-6746

NPI assigned

Feb 14, 2007

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

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881737641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LONDONDERRY DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221821",
            "telephone_number": "908-788-8514",
            "fax_number": "732-445-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ROCKAFELLER RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548053",
            "telephone_number": "732-445-7896",
            "fax_number": "732-445-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDENBAUGH",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00044900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Adassa Bortolon
• Susan Bosakowski, MSW
• Kiara Boyd
• Arthur W Boyer Jr., D.C.
• Caitlin R Boyko, PT, DPT
• Jonathan Lee Brisbon
• Kelsey Nicole Briscese
• Benjamin T Brisson
• Jessie Britton
• Leslie E Britton, OT

• Athletic Trainer in Piscataway, NJ
• Providers in Piscataway, 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 Jul 8, 2007; 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.