Mr. John Wagner, ATC
Specialist/Technologist, Athletic Trainer in Jersey City, New Jersey
1386697019- Practice location
- 35 Colgate St, Jersey City, NJ 07302-3307
- Phone
- 201-547-2093
- Fax
- —
- Last updated
- April 29, 2008
John Wagner is a Specialist/Technologist, Athletic Trainer based in Jersey City, NJ. John Wagner practices in Jersey City, NJ and has the professional credentials of ATC. The NPI Number for John Wagner is 1386697019 and holds a License No. 25MT00083700 (NJ). The current practice location address for John Wagner is 35 Colgate St, Jersey City, NJ 07302-3307 and can be reached out via phone at 201-547-2093.
Provider Profile Details
- NPI Number
- 1386697019
- Provider Name
- John Wagner
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 35 Colgate St, Jersey City, NJ 07302-3307
- Phone Number
- 201-547-2093
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2006
- Last Update Date
- April 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 Colgate St
Jersey City, NJ 07302-3307 - City
- Jersey City
- State
- New Jersey
- Zip
- 07302-3307
- Phone Number
- 201-547-2093
Provider Business Mailing Address Details
- Address
- 510 Washington St
Floor 2
Carlstadt, NJ 07072-1508 - City
- Carlstadt
- State
- NJ
- Zip
- 07072-1508
- Phone Number
- 201-245-5417
License Information
- License Number
- 25MT00083700
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Jersey City, NJ
View all Specialist/Technologist, Athletic Trainers in Jersey City →- Adam CariasSpecialist/Technologist, Athletic Trainer · NPI 1174138598
- Angel L Montanez, MS, ATC, PESSpecialist/Technologist, Athletic Trainer · NPI 1811381155
- Erik Lindstrom, ATCSpecialist/Technologist, Athletic Trainer · NPI 1598243545
- Jahan Marcu, PHDSpecialist/Technologist, Athletic Trainer · NPI 1588544332
- Jessica HolmesSpecialist/Technologist, Athletic Trainer · NPI 1841749751
- Joseph L LisellaSpecialist/Technologist, Athletic Trainer · NPI 1366962466
Frequently Asked Questions
What is the NPI number of Mr. John Wagner, ATC?
The NPI number of Mr. John Wagner, ATC is 1386697019. It was assigned on May 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. John Wagner, ATC?
Mr. John Wagner, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00083700.
Where does Mr. John Wagner, ATC practice?
The practice location is 35 Colgate St, Jersey City, NJ 07302-3307. The office can be reached at 201-547-2093 (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 1386697019 directly on the NPPES registry website.