John Baker, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00214700 Issued in NJ

Practice address

300 Perrine Rd Ste 305
Old Bridge, NJ 08857-3628

Phone

(609) 598-0023

NPI assigned

Sep 18, 2017

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1972022390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PROSPECT ST",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311606",
            "telephone_number": "609-598-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 305",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573628",
            "telephone_number": "609-598-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00214700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Azer
• Monica C Azmy, MD
• Azteletherapy
• Craig Jeffrey Bachman, DPM
• Maria Amin Baig, M.D
• Edward Bakman, PHARMD
• Beth A Balinski, D.O.
• Neha Bangia, M.D
• Brianna Barone
• Marilyn Baruiz-Creel, M.D.

• Athletic Trainer in Old Bridge, NJ
• Providers in Old Bridge, 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 18, 2017; 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.