Donald Frank Smith Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00035700 Issued in NJ

Practice address

462 Millburn Ave
Millburn, NJ 07042

Phone

(973) 376-3600

Fax

(973) 912-8633

NPI assigned

Aug 10, 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

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891706453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PACIFIC ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031919",
            "telephone_number": "973-715-0247",
            "fax_number": "973-912-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-376-3600",
            "fax_number": "973-912-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DONALD",
        "middle_name": "FRANK",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00035700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sue Ann Sisto, PT
• Sleep Better Jersey Inc.
• Lori Smith, M.S. CCC-SLP
• So I Heard Music, LLC
• Hal Eric Solomon, DDS
• Michael I Solomon, M.D.
• Soma Skin & Laser, LLC

• Athletic Trainer in Millburn, NJ
• Providers in Millburn, 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.