Active NPIIndividual providerSole proprietor

Simon P Rosenblum, ATC

Specialist/Technologist, Athletic Trainer in W Long Branch, New Jersey

NPI Number1386804128
Practice location
400 Cedar Ave, W Long Branch, NJ 07764-1804
Fax
—
Last updated
June 16, 2008

Simon Peter Rosenblum is a Specialist/Technologist, Athletic Trainer based in W Long Branch, NJ. Simon Peter Rosenblum practices in W Long Branch, NJ and has the professional credentials of ATC. The NPI Number for Simon Peter Rosenblum is 1386804128 and holds a License No. 25MT00079200 (NJ). The current practice location address for Simon Peter Rosenblum is 400 Cedar Ave, W Long Branch, NJ 07764-1804 and can be reached out via phone at 732-263-5249.

Provider Profile Details

NPI Number
1386804128
Provider Name
Simon Peter Rosenblum
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
400 Cedar Ave, W Long Branch, NJ 07764-1804
Phone Number
732-263-5249
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2008
Last Update Date
June 16, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Cedar Ave
W Long Branch, NJ 07764-1804
Zip
07764-1804
Phone Number
732-263-5249
W Long Branch, NJ 07764Get directions →

Provider Business Mailing Address Details

Address
2448 Steiner RD
Manchester, NJ 08759-6137
City
Manchester
State
NJ
Zip
08759-6137
Phone Number
732-674-1405

License Information

License Number
25MT00079200
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 Simon P Rosenblum, ATC?

The NPI number of Simon P Rosenblum, ATC is 1386804128. It was assigned on June 16, 2008 and is currently active in the NPPES registry.

What is the specialty of Simon P Rosenblum, ATC?

Simon P Rosenblum, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00079200.

Where does Simon P Rosenblum, ATC practice?

The practice location is 400 Cedar Ave, W Long Branch, NJ 07764-1804. The office can be reached at 732-263-5249 (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 1386804128 directly on the NPPES registry website.

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