Active NPIIndividual provider

Samantha Kolibas, ATC, LAT

Specialist/Technologist, Athletic Trainer in Montclair, New Jersey

NPI Number1457727554
Practice location
49 Claremont Ave, Montclair, NJ 07042-4854
Fax
—
Last updated
August 12, 2015

Samantha Kolibas is a Specialist/Technologist, Athletic Trainer based in Montclair, NJ. Samantha Kolibas practices in Montclair, NJ and has the professional credentials of ATC, LAT. The NPI Number for Samantha Kolibas is 1457727554 and holds a License No. 25MT00206900 (NJ). The current practice location address for Samantha Kolibas is 49 Claremont Ave, Montclair, NJ 07042-4854 and can be reached out via phone at 973-680-8390.

Provider Profile Details

NPI Number
1457727554
Provider Name
Samantha Kolibas
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
49 Claremont Ave, Montclair, NJ 07042-4854
Phone Number
973-680-8390
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2015
Last Update Date
August 12, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Claremont Ave
Montclair, NJ 07042-4854
Zip
07042-4854
Phone Number
973-680-8390
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
1360 Clifton Ave
# 345
Clifton, NJ 07012-1453
City
Clifton
State
NJ
Zip
07012-1453
Phone Number
973-928-3590

License Information

License Number
25MT00206900
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 Samantha Kolibas, ATC, LAT?

The NPI number of Samantha Kolibas, ATC, LAT is 1457727554. It was assigned on August 12, 2015 and is currently active in the NPPES registry.

What is the specialty of Samantha Kolibas, ATC, LAT?

Samantha Kolibas, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00206900.

Where does Samantha Kolibas, ATC, LAT practice?

The practice location is 49 Claremont Ave, Montclair, NJ 07042-4854. The office can be reached at 973-680-8390 (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 1457727554 directly on the NPPES registry website.

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