Active NPIIndividual providerSole proprietor

Raymond N Divirgilio

Specialist/Technologist, Athletic Trainer in Union, New Jersey

NPI Number1003323908
Practice location
1000 Morris Ave, Union, NJ 07083-7133
Fax
—
Last updated
January 2, 2018

Raymond N. Divirgilio is a Specialist/Technologist, Athletic Trainer based in Union, NJ. Raymond N. Divirgilio practices in Union, NJ. The NPI Number for Raymond N. Divirgilio is 1003323908 and holds a License No. 25MT00031600 (NJ). The current practice location address for Raymond N. Divirgilio is 1000 Morris Ave, Union, NJ 07083-7133 and can be reached out via phone at 908-737-0663.

Provider Profile Details

NPI Number
1003323908
Provider Name
Raymond N. Divirgilio
Provider Entity Type
Individual
Gender
Male
Address
1000 Morris Ave, Union, NJ 07083-7133
Phone Number
908-737-0663
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2018
Last Update Date
January 2, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1000 Morris Ave
Union, NJ 07083-7133
City
Union
Zip
07083-7133
Phone Number
908-737-0663
Union, NJ 07083Get directions →

Provider Business Mailing Address Details

Address
119 Glenwood RD
Fanwood, NJ 07023-1474
City
Fanwood
State
NJ
Zip
07023-1474
Phone Number
908-737-0663

License Information

License Number
25MT00031600
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Raymond N Divirgilio?

The NPI number of Raymond N Divirgilio is 1003323908. It was assigned on January 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Raymond N Divirgilio?

Raymond N Divirgilio is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00031600.

Where does Raymond N Divirgilio practice?

The practice location is 1000 Morris Ave, Union, NJ 07083-7133. The office can be reached at 908-737-0663 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003323908 directly on the NPPES registry website.

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