Active NPIIndividual provider

Mr. Tyler D Melnicove, ATC, EMT

Specialist/Technologist, Athletic Trainer in Pittsgrove, New Jersey

NPI Number1316334733
Practice location
1132 Rainbow Cir, Pittsgrove, NJ 08318-9177
Fax
—
Last updated
September 19, 2016

Tyler Dean Melnicove is a Specialist/Technologist, Athletic Trainer based in Pittsgrove, NJ. Tyler Dean Melnicove practices in Pittsgrove, NJ and has the professional credentials of ATC, EMT. The NPI Number for Tyler Dean Melnicove is 1316334733 and holds a License No. 2000025437 (NJ). The current practice location address for Tyler Dean Melnicove is 1132 Rainbow Cir, Pittsgrove, NJ 08318-9177 and can be reached out via phone at 609-805-4695.

Provider Profile Details

NPI Number
1316334733
Provider Name
Tyler Dean Melnicove
Credential
ATC, EMT
Provider Entity Type
Individual
Gender
Male
Address
1132 Rainbow Cir, Pittsgrove, NJ 08318-9177
Phone Number
609-805-4695
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
April 23, 2015
Last Update Date
September 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1132 Rainbow Cir
Pittsgrove, NJ 08318-9177
Zip
08318-9177
Phone Number
609-805-4695
Pittsgrove, NJ 08318Get directions →

Provider Business Mailing Address Details

Address
1132 Rainbow Cir
Pittsgrove, NJ 08318-9177
City
Pittsgrove
State
NJ
Zip
08318-9177
Phone Number
609-805-4695

License Information

License Number (1)
2000025437
License State (1)
NJ
Taxonomy (1)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
License Number (2)
608409
License State (2)
NJ
Taxonomy (2)
Emergency Medical Technician, Basic · 146N00000X

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. Tyler D Melnicove, ATC, EMT?

The NPI number of Mr. Tyler D Melnicove, ATC, EMT is 1316334733. It was assigned on April 23, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Tyler D Melnicove, ATC, EMT?

Mr. Tyler D Melnicove, ATC, EMT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 2000025437.

Where does Mr. Tyler D Melnicove, ATC, EMT practice?

The practice location is 1132 Rainbow Cir, Pittsgrove, NJ 08318-9177. The office can be reached at 609-805-4695 (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 1316334733 directly on the NPPES registry website.

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