Active NPIIndividual providerSole proprietor

Ryan Berube, ATC

Specialist/Technologist, Athletic Trainer in Montvale, New Jersey

NPI Number1194278648
Practice location
40 Chestnut Ridge RD, Montvale, NJ 07645-1802
Fax
—
Last updated
August 2, 2016

Ryan Berube is a Specialist/Technologist, Athletic Trainer based in Montvale, NJ. Ryan Berube practices in Montvale, NJ and has the professional credentials of ATC. The NPI Number for Ryan Berube is 1194278648 and holds a License No. 25MT00146400 (NJ). The current practice location address for Ryan Berube is 40 Chestnut Ridge RD, Montvale, NJ 07645-1802 and can be reached out via phone at 201-391-3300.

Provider Profile Details

NPI Number
1194278648
Provider Name
Ryan Berube
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
40 Chestnut Ridge RD, Montvale, NJ 07645-1802
Phone Number
201-391-3300
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Other Names
-- Ryan Berube, ATC (Professional Name)
Provider Enumeration Date
August 2, 2016
Last Update Date
August 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Chestnut Ridge RD
Montvale, NJ 07645-1802
Zip
07645-1802
Phone Number
201-391-3300
Montvale, NJ 07645Get directions →

Provider Business Mailing Address Details

Address
40 Chestnut Ridge RD
Montvale, NJ 07645-1802
City
Montvale
State
NJ
Zip
07645-1802
Phone Number
201-391-3300

License Information

License Number
25MT00146400
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 Ryan Berube, ATC?

The NPI number of Ryan Berube, ATC is 1194278648. It was assigned on August 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Ryan Berube, ATC?

Ryan Berube, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00146400.

Where does Ryan Berube, ATC practice?

The practice location is 40 Chestnut Ridge RD, Montvale, NJ 07645-1802. The office can be reached at 201-391-3300 (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 1194278648 directly on the NPPES registry website.

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