Individual provider Active NPI

David Aliquo, M.ED., ATC

  • Athletic Trainer
  • Marlton, NJ
National Provider Identifier
1902931272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
MT00764 Issued in NJ
Practice address
1 Greentree Ctr Ste 104
Temple University Orthopedics
Marlton, NJ 08053-3105
Phone
(856) 596-0906
Fax
(856) 596-6918
NPI assigned
Feb 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X MT00764 NJ Primary

Addresses

Primary practice location

1 Greentree Ctr Ste 104
Temple University Orthopedics
Marlton, NJ 08053-3105

Mailing address

32 Hill Farm Way
Woolwich Township, NJ 08085-1376

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
MT00764NJMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902931272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HILL FARM WAY",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENTREE CTR STE 104",
            "address_2": "TEMPLE UNIVERSITY ORTHOPEDICS",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "856-596-0906",
            "fax_number": "856-596-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIQUO",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.ED., ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "MT00764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • 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.