Active NPIIndividual providerSole proprietor

Cynthia K Dormann, ATC

Specialist/Technologist, Athletic Trainer in Montclair, New Jersey

NPI Number1316516834
Practice location
1 Normal Avenue, Intercollegiate Athletics, Montclair, NJ 07043-1624
Fax
—
Last updated
June 19, 2021

Cynthia K Dormann is a Specialist/Technologist, Athletic Trainer based in Montclair, NJ. Cynthia K Dormann practices in Montclair, NJ and has the professional credentials of ATC. The NPI Number for Cynthia K Dormann is 1316516834 and holds a License No. 25MT00047500 (NJ). The current practice location address for Cynthia K Dormann is 1 Normal Avenue, Intercollegiate Athletics, Montclair, NJ 07043-1624 and can be reached out via phone at 201-953-1045.

Provider Profile Details

NPI Number
1316516834
Provider Name
Cynthia K Dormann
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1 Normal Avenue, Intercollegiate Athletics, Montclair, NJ 07043-1624
Phone Number
201-953-1045
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2021
Last Update Date
June 19, 2021
Certification Date
June 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Normal Avenue
Intercollegiate Athletics
Montclair, NJ 07043-1624
Zip
07043-1624
Phone Number
201-953-1045
Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
251 Wiscasset RD
Highland Lakes, NJ 07422-9102
City
Highland Lakes
State
NJ
Zip
07422-9102
Phone Number
201-953-1045

License Information

License Number
25MT00047500
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 Cynthia K Dormann, ATC?

The NPI number of Cynthia K Dormann, ATC is 1316516834. It was assigned on June 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Cynthia K Dormann, ATC?

Cynthia K Dormann, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00047500.

Where does Cynthia K Dormann, ATC practice?

The practice location is 1 Normal Avenue, Intercollegiate Athletics, Montclair, NJ 07043-1624. The office can be reached at 201-953-1045 (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 1316516834 directly on the NPPES registry website.

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