Donald Tomaszewski, ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00031000 Issued in NJ

Practice address

223 N Van Dien Ave
Sports Institute
Ridgewood, NJ 07450-2726

Phone

(201) 447-8133

Fax

(201) 251-3253

NPI assigned

Sep 24, 2013

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

Other identifiers 1

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1922434869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVE",
            "address_2": "SPORTS INSTITUTE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502726",
            "telephone_number": "201-447-8133",
            "fax_number": "201-251-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVE",
            "address_2": "SPORTS INSTITUTE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502726",
            "telephone_number": "201-447-8133",
            "fax_number": "201-251-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASZEWSKI",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00031000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF MEDICAL EXAMINERS",
            "identifier": "25MT00031000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Ridgewood, NJ
• Providers in Ridgewood, 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 Sep 24, 2013; 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.