Michael Fidanza
Specialist/Technologist, Athletic Trainer in Matawan, New Jersey
1093613812- Practice location
- 144 Nj-34, Matawan, NJ 07747
- Phone
- 732-316-5895
- Fax
- —
- Last updated
- October 30, 2026
Michael Fidanza is a Specialist/Technologist, Athletic Trainer based in Matawan, NJ. Michael Fidanza practices in Matawan, NJ. The NPI Number for Michael Fidanza is 1093613812 and holds a License No. 25MT00297100 (NJ). The current practice location address for Michael Fidanza is 144 Nj-34, Matawan, NJ 07747 and can be reached out via phone at 732-316-5895.
Provider Profile Details
- NPI Number
- 1093613812
- Provider Name
- Michael Fidanza
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 144 Nj-34, Matawan, NJ 07747
- Phone Number
- 732-316-5895
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 30, 2026
- Last Update Date
- October 30, 2026
- Certification Date
- October 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 144 Nj-34
Matawan, NJ 07747 - City
- Matawan
- State
- New Jersey
- Zip
- 07747
- Phone Number
- 732-316-5895
Provider Business Mailing Address Details
- Address
- 169 Johnson RD
Morris Plains, NJ 07950-2903 - City
- Morris Plains
- State
- NJ
- Zip
- 07950-2903
- Phone Number
- 718-702-5586
License Information
- License Number
- 25MT00297100
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Michael Fidanza?
The NPI number of Michael Fidanza is 1093613812. It was assigned on October 30, 2026 and is currently active in the NPPES registry.
What is the specialty of Michael Fidanza?
Michael Fidanza is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00297100.
Where does Michael Fidanza practice?
The practice location is 144 Nj-34, Matawan, NJ 07747. The office can be reached at 732-316-5895 (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 1093613812 directly on the NPPES registry website.