Active NPIIndividual providerSole proprietor

Domer J Gutiza, ATC

Specialist/Technologist, Athletic Trainer in New Milford, New Jersey

NPI Number1285225417
Practice location
282 Faller Dr Apt C, New Milford, NJ 07646
Fax
—
Last updated
January 31, 2021

Domer J Gutiza is a Specialist/Technologist, Athletic Trainer based in New Milford, NJ. Domer J Gutiza practices in New Milford, NJ and has the professional credentials of ATC. The NPI Number for Domer J Gutiza is 1285225417. The current practice location address for Domer J Gutiza is 282 Faller Dr Apt C, New Milford, NJ 07646 and can be reached out via phone at 201-281-7907.

Provider Profile Details

NPI Number
1285225417
Provider Name
Domer J Gutiza
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
282 Faller Dr Apt C, New Milford, NJ 07646
Phone Number
201-281-7907
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2021
Last Update Date
January 31, 2021
Certification Date
January 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
282 Faller Dr Apt C
New Milford, NJ 07646
Zip
07646
Phone Number
201-281-7907
New Milford, NJ 07646Get directions →

Provider Business Mailing Address Details

Address
282 Faller Dr Apt C
New Milford, NJ 07646
City
New Milford
State
NJ
Zip
07646
Phone Number
201-281-7907

License Information

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 Domer J Gutiza, ATC?

The NPI number of Domer J Gutiza, ATC is 1285225417. It was assigned on January 31, 2021 and is currently active in the NPPES registry.

What is the specialty of Domer J Gutiza, ATC?

Domer J Gutiza, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Domer J Gutiza, ATC practice?

The practice location is 282 Faller Dr Apt C, New Milford, NJ 07646. The office can be reached at 201-281-7907 (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 1285225417 directly on the NPPES registry website.

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