Aleah Abigail Nieshalla, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00266900 Issued in NJ

Practice address

1 Felician Way
Rutherford, NJ 07070-1977

Phone

(201) 559-6000

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1952918872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HEARTHSTONE DR",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074803752",
            "telephone_number": "973-838-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FELICIAN WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701977",
            "telephone_number": "201-559-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESHALLA",
        "first_name": "ALEAH",
        "middle_name": "ABIGAIL",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00266900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Rutherford",
            "affiliation": "N",
            "address_1": "1 Felician Way",
            "city": "Rutherford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070701977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Rutherford, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.