Active NPIIndividual provider

Mr. Kenneth R Marsaglia II

Specialist/Technologist, Athletic Trainer in Bloomfield, New Jersey

NPI Number1043687551
Practice location
1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
Fax
—
Last updated
May 23, 2026

Kenneth Richard Marsaglia is a Specialist/Technologist, Athletic Trainer based in Bloomfield, NJ. Kenneth Richard Marsaglia practices in Bloomfield, NJ. The NPI Number for Kenneth Richard Marsaglia is 1043687551 and holds a License No. 25mt00207900 (NJ). The current practice location address for Kenneth Richard Marsaglia is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066 and can be reached out via phone at 877-532-7837.

Provider Profile Details

NPI Number
1043687551
Provider Name
Kenneth Richard Marsaglia
Provider Entity Type
Individual
Gender
Male
Address
1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
Phone Number
877-532-7837
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2015
Last Update Date
May 23, 2026
Certification Date
May 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Zip
07003-3066
Phone Number
877-532-7837
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
City
Bloomfield
State
NJ
Zip
07003-3066
Phone Number
877-532-7837

License Information

License Number (1)
25mt00207900
License State (1)
NJ
Taxonomy (1)
Preventive Medicine, Sports Medicine · 2083S0010X
License Number (2)
25MT00207900
License State (2)
NJ
Taxonomy (2)
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 Mr. Kenneth R Marsaglia II?

The NPI number of Mr. Kenneth R Marsaglia II is 1043687551. It was assigned on September 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth R Marsaglia II?

Mr. Kenneth R Marsaglia II is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25mt00207900.

Where does Mr. Kenneth R Marsaglia II practice?

The practice location is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066. The office can be reached at 877-532-7837 (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 1043687551 directly on the NPPES registry website.

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