Active NPIIndividual provider

Jack M Garruto

Specialist/Technologist, Athletic Trainer in Wayne, New Jersey

NPI Number1407482979
Practice location
300 Pompton RD, Wayne, NJ 07470-2103
Fax
—
Last updated
March 17, 2020

Jack Matthew Garruto is a Specialist/Technologist, Athletic Trainer based in Wayne, NJ. Jack Matthew Garruto practices in Wayne, NJ. The NPI Number for Jack Matthew Garruto is 1407482979. The current practice location address for Jack Matthew Garruto is 300 Pompton RD, Wayne, NJ 07470-2103 and can be reached out via phone at 973-632-9728.

Provider Profile Details

NPI Number
1407482979
Provider Name
Jack Matthew Garruto
Provider Entity Type
Individual
Gender
Male
Address
300 Pompton RD, Wayne, NJ 07470-2103
Phone Number
973-632-9728
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2020
Last Update Date
March 17, 2020
Certification Date
March 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Pompton RD
Wayne, NJ 07470-2103
City
Wayne
Zip
07470-2103
Phone Number
973-632-9728
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
35 Dumont Ave
Clifton, NJ 07013-1006
City
Clifton
State
NJ
Zip
07013-1006
Phone Number
973-632-9728

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 Jack M Garruto?

The NPI number of Jack M Garruto is 1407482979. It was assigned on March 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Jack M Garruto?

Jack M Garruto is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Jack M Garruto practice?

The practice location is 300 Pompton RD, Wayne, NJ 07470-2103. The office can be reached at 973-632-9728 (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 1407482979 directly on the NPPES registry website.

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