Active NPIIndividual providerSole proprietor

Thomas Carroll

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

NPI Number1417333261
Practice location
400 Cedar Ave, West Long Branch, NJ 07764-1804
Fax
—
Last updated
August 4, 2015

Thomas Carroll is a Specialist/Technologist, Athletic Trainer based in West Long Branch, NJ. Thomas Carroll practices in West Long Branch, NJ. The NPI Number for Thomas Carroll is 1417333261 and holds a License No. 25MT00210500 (NJ). The current practice location address for Thomas Carroll is 400 Cedar Ave, West Long Branch, NJ 07764-1804 and can be reached out via phone at 732-263-4473.

Provider Profile Details

NPI Number
1417333261
Provider Name
Thomas Carroll
Provider Entity Type
Individual
Gender
Male
Address
400 Cedar Ave, West Long Branch, NJ 07764-1804
Phone Number
732-263-4473
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 4, 2015
Last Update Date
August 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Cedar Ave
West Long Branch, NJ 07764-1804
Zip
07764-1804
Phone Number
732-263-4473
West Long Branch, NJ 07764Get directions →

Provider Business Mailing Address Details

Address
68 Pinewood Ave
West Long Branch, NJ 07764-1870
City
West Long Branch
State
NJ
Zip
07764-1870

License Information

License Number
25MT00210500
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 Thomas Carroll?

The NPI number of Thomas Carroll is 1417333261. It was assigned on August 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Thomas Carroll?

Thomas Carroll is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00210500.

Where does Thomas Carroll practice?

The practice location is 400 Cedar Ave, West Long Branch, NJ 07764-1804. The office can be reached at 732-263-4473 (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 1417333261 directly on the NPPES registry website.

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