Jenna L. Bidoglio, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00165300 Issued in NJ

Practice address

1 Mount Vernon Ave
Apartment 2
Bloomfield, NJ 07003-3992

Phone

(845) 649-8885

NPI assigned

Jan 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1962824367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MOUNT VERNON AVE",
            "address_2": "APARTMENT 2",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033992",
            "telephone_number": "845-649-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOUNT VERNON AVE",
            "address_2": "APARTMENT 2",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033992",
            "telephone_number": "845-649-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDOGLIO",
        "first_name": "JENNA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00165300",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Beyjoun, DPT
• Hemlata Bhatia, MD
• Pranay J Bhatt, M.D.
• Nilaya Babu Bhawsar, DO
• Devang Laxmikant Bhoiwala, M.D.
• Maria Grace Billings
• Danielle C Bloom
• Bloomfield Board of Education
• Bloomfield Care Pharmacy Corp
• Bloomfield College

• Athletic Trainer in Bloomfield, NJ
• Providers in Bloomfield, 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 Jan 20, 2014; 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.