Mary Beth Housel, M.S., A.T.C., CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00118700 Issued in NJ

Practice address

354 South St
New Providence, NJ 07974-2129

Phone

(908) 577-2262

Fax

(908) 464-2682

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Mary Beth Harbach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1902869100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 SOUTH ST",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742129",
            "telephone_number": "908-577-2262",
            "fax_number": "908-464-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SOUTH ST",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742129",
            "telephone_number": "908-577-2262",
            "fax_number": "908-464-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEL",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.S., A.T.C., CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00118700",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HARBACH",
            "middle_name": "BETH",
            "prefix": "MISS",
            "credential": "M.S., A.T.C., CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grace Hickey
• Jill Dana Hoefs, MPT
• David Sandor Hoffman, M.D.
• Meghan Kathleen Holler
• Horizon Hill Associates
• Andrea Gibbons Hubschmann, MD
• Ta' Lisa Marie Hutton, LSW
• Ignite Spine and Sports LLC
• Jacqulyne Inman, RPH, PHARMD
• Erika Ledder Inzano, LCSW

• Athletic Trainer in New Providence, NJ
• Providers in New Providence, 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 Apr 30, 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.