Active NPIIndividual providerSole proprietor

Matthew Bergh, ATC

Specialist/Technologist, Athletic Trainer in Glenwood, New Jersey

NPI Number1245549880
Practice location
1832 County RD 565, Glenwood, NJ 07418-1049
Fax
—
Last updated
March 17, 2016

Matthew Bergh is a Specialist/Technologist, Athletic Trainer based in Glenwood, NJ. Matthew Bergh practices in Glenwood, NJ and has the professional credentials of ATC. The NPI Number for Matthew Bergh is 1245549880 and holds a License No. 25MT00151700 (NJ). The current practice location address for Matthew Bergh is 1832 County RD 565, Glenwood, NJ 07418-1049 and can be reached out via phone at 973-764-2995.

Provider Profile Details

NPI Number
1245549880
Provider Name
Matthew Bergh
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1832 County RD 565, Glenwood, NJ 07418-1049
Phone Number
973-764-2995
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2010
Last Update Date
March 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1832 County RD 565
Glenwood, NJ 07418-1049
Zip
07418-1049
Phone Number
973-764-2995
Glenwood, NJ 07418Get directions →

Provider Business Mailing Address Details

Address
31 Kane St
Franklin, NJ 07416-1723
City
Franklin
State
NJ
Zip
07416-1723

License Information

License Number
25MT00151700
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 Matthew Bergh, ATC?

The NPI number of Matthew Bergh, ATC is 1245549880. It was assigned on September 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Matthew Bergh, ATC?

Matthew Bergh, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00151700.

Where does Matthew Bergh, ATC practice?

The practice location is 1832 County RD 565, Glenwood, NJ 07418-1049. The office can be reached at 973-764-2995 (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 1245549880 directly on the NPPES registry website.

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