Kevin Nafash, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003538 Issued in NY

Practice address

550 Mamaroneck Ave Ste 104
Harrison, NY 10528-1612

Phone

(201) 398-3517

NPI assigned

Jan 27, 2021

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1932790508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NORTH DR",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623602",
            "telephone_number": "201-398-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAMARONECK AVE STE 104",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281612",
            "telephone_number": "201-398-3517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105281610",
            "country_code": "US",
            "telephone_number": "201-398-3517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAFASH",
        "first_name": "KEVIN",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Mungen II
• Patricia E Murdock, CARE COORDINATOR
• Jennifer Murillo, NP
• Derick Murray
• Maria Muste, MD
• Randa Nassar, PA-C
• Donald Fredericks Nathanson, LCSW
• Georgeann Naughton, LCSW-R, CASAC
• Rosanna Navarra
• Sainabou Ndow, RN

• Athletic Trainer in Harrison, NY
• Providers in Harrison, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.