Individual provider Active NPI

Sean M Gadino, ATC, PTA

  • Athletic Trainer
  • Jersey City, NJ
National Provider Identifier
1992804942
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00128100 Issued in NJ
Practice address
60 Crescent Ave
Jersey City, NJ 07304-2925
Phone
(201) 309-1649
Fax
(201) 309-0693
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00220800 NJ
Athletic Trainer 2255A2300X 25MT00128100 NJ Primary
Athletic Trainer 2255A2300X 001963-1 NY

Addresses

Primary practice location

60 Crescent Ave
Jersey City, NJ 07304-2925

Mailing address

60 Crescent Ave
Jersey City, NJ 07304-2925
Phone (201) 309-1649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QB00220800NJMDPhysical Therapy Assistant
25MT00128100NJMDAthletic Trainer
001963-1NYMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1992804942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CRESCENT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042925",
            "telephone_number": "201-309-1649",
            "fax_number": "201-309-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CRESCENT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042925",
            "telephone_number": "201-309-1649",
            "fax_number": "201-309-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADINO",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "ATC, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00220800",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00128100",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001963-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.