Courtney J Defeo, ATC
Specialist/Technologist, Athletic Trainer in Fair Lawn, New Jersey
1497591804- Practice location
- 2-22 Banta Pl, Fair Lawn, NJ 07410-3058
- Phone
- 201-509-8600
- Fax
- —
- Last updated
- July 4, 2024
Courtney Jean Defeo is a Specialist/Technologist, Athletic Trainer based in Fair Lawn, NJ. Courtney Jean Defeo practices in Fair Lawn, NJ and has the professional credentials of ATC. The NPI Number for Courtney Jean Defeo is 1497591804 and holds a License No. 25MT00328800 (NJ). The current practice location address for Courtney Jean Defeo is 2-22 Banta Pl, Fair Lawn, NJ 07410-3058 and can be reached out via phone at 201-509-8600.
Provider Profile Details
- NPI Number
- 1497591804
- Provider Name
- Courtney Jean Defeo
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2-22 Banta Pl, Fair Lawn, NJ 07410-3058
- Phone Number
- 201-509-8600
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 4, 2024
- Last Update Date
- July 4, 2024
- Certification Date
- July 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2-22 Banta Pl
Fair Lawn, NJ 07410-3058 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3058
- Phone Number
- 201-509-8600
Provider Business Mailing Address Details
- Address
- 2-22 Banta Pl
Fair Lawn, NJ 07410-3058 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-3058
- Phone Number
- 201-509-8600
License Information
- License Number
- 25MT00328800
- 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 Fair Lawn, NJ
View all Specialist/Technologist, Athletic Trainers in Fair Lawn →- Chelsea PetilloSpecialist/Technologist, Athletic Trainer · NPI 1780433359
- Daniel Morales, ATCSpecialist/Technologist, Athletic Trainer · NPI 1295665107
- Jason Locicero, ATCSpecialist/Technologist, Athletic Trainer · NPI 1619366002
- Laurel-Anne L MasonSpecialist/Technologist, Athletic Trainer · NPI 1073311775
- Matthew Lema, ATCSpecialist/Technologist, Athletic Trainer · NPI 1053256164
- Nicholas MilewskiSpecialist/Technologist, Athletic Trainer · NPI 1780417543
Frequently Asked Questions
What is the NPI number of Courtney J Defeo, ATC?
The NPI number of Courtney J Defeo, ATC is 1497591804. It was assigned on July 4, 2024 and is currently active in the NPPES registry.
What is the specialty of Courtney J Defeo, ATC?
Courtney J Defeo, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00328800.
Where does Courtney J Defeo, ATC practice?
The practice location is 2-22 Banta Pl, Fair Lawn, NJ 07410-3058. The office can be reached at 201-509-8600 (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 1497591804 directly on the NPPES registry website.