Active NPI
Karen Hartigan, ATC
- Athletic Trainer
- Midland Park, NJ
National Provider Identifier
1992927750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00007900
- Practice address
- 445 Godwin Ave
Midland Park, NJ 07432-1507 - Phone
- (201) 444-4550
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00007900 | NJ | Primary |
Addresses
Primary practice location
445 Godwin Ave
Midland Park, NJ 07432-1507
Mailing address
1369 Oxford St
Mahwah, NJ 07430-3260
Phone (201) 962-2307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MT00007900 | Other | NJ | NJ LICENSE-REGISTRATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00007900 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992927750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1369 OXFORD ST",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074303260",
"telephone_number": "201-962-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 GODWIN AVE",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321507",
"telephone_number": "201-444-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTIGAN",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00007900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE-REGISTRATION",
"identifier": "25MT00007900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.