Chelsea Gruber
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · West Milford, NJ
NPI 1952756751 · NPPES record last updated Apr 28, 2016
Key facts
- NPI
- 1952756751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 119 Morsetown Rd
West Milford, NJ 07480-3101 - Phone
- (201) 398-3618
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
119 Morsetown Rd
West Milford, NJ 07480-3101
Mailing address
119 Morsetown Rd
West Milford, NJ 07480-3101
Phone (201) 398-3618
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- Stefan Greendyk
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- Diane F Hettema
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All providers in West Milford, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.