Active NPIIndividual providerSole proprietor

Mr. Justin D Maher, ATC, PT, DPT

Specialist/Technologist, Athletic Trainer in East Rutherford, New Jersey

NPI Number1538407671
Practice location
1925 Giants Dr, East Rutherford, NJ 07073-2140
Fax
—
Last updated
April 5, 2018

Justin Daniel Maher is a Specialist/Technologist, Athletic Trainer based in East Rutherford, NJ. Justin Daniel Maher practices in East Rutherford, NJ and has the professional credentials of ATC, PT, DPT. The NPI Number for Justin Daniel Maher is 1538407671 and holds a License No. 25MT00168300 (NJ). The current practice location address for Justin Daniel Maher is 1925 Giants Dr, East Rutherford, NJ 07073-2140 and can be reached out via phone at 201-935-8111.

Provider Profile Details

NPI Number
1538407671
Provider Name
Justin Daniel Maher
Credential
ATC, PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
1925 Giants Dr, East Rutherford, NJ 07073-2140
Phone Number
201-935-8111
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2013
Last Update Date
April 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1925 Giants Dr
East Rutherford, NJ 07073-2140
Zip
07073-2140
Phone Number
201-935-8111
East Rutherford, NJ 07073Get directions →

Provider Business Mailing Address Details

Address
211 Palsa Ave
Elmwood Park, NJ 07407-1216
City
Elmwood Park
State
NJ
Zip
07407-1216
Phone Number
201-873-0302
Fax Number
201-935-0889

License Information

License Number
25MT00168300
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 Mr. Justin D Maher, ATC, PT, DPT?

The NPI number of Mr. Justin D Maher, ATC, PT, DPT is 1538407671. It was assigned on January 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Justin D Maher, ATC, PT, DPT?

Mr. Justin D Maher, ATC, PT, DPT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00168300.

Where does Mr. Justin D Maher, ATC, PT, DPT practice?

The practice location is 1925 Giants Dr, East Rutherford, NJ 07073-2140. The office can be reached at 201-935-8111 (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 1538407671 directly on the NPPES registry website.

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