Active NPIIndividual providerSole proprietor

Micah Camille T Baluyot, ATC

Specialist/Technologist, Athletic Trainer in Jersey City, New Jersey

NPI Number1548717325
Practice location
325 Danforth Ave, Apt 1B, Jersey City, NJ 07305-1928
Fax
—
Last updated
September 8, 2016

Micah Camille Talusan Baluyot is a Specialist/Technologist, Athletic Trainer based in Jersey City, NJ. Micah Camille Talusan Baluyot practices in Jersey City, NJ and has the professional credentials of ATC. The NPI Number for Micah Camille Talusan Baluyot is 1548717325 and holds a License No. 25MT00229100 (NJ). The current practice location address for Micah Camille Talusan Baluyot is 325 Danforth Ave, Apt 1B, Jersey City, NJ 07305-1928 and can be reached out via phone at 551-208-3763.

Provider Profile Details

NPI Number
1548717325
Provider Name
Micah Camille Talusan Baluyot
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
325 Danforth Ave, Apt 1B, Jersey City, NJ 07305-1928
Phone Number
551-208-3763
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
September 8, 2016
Last Update Date
September 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 Danforth Ave
Apt 1B
Jersey City, NJ 07305-1928
Zip
07305-1928
Phone Number
551-208-3763
Jersey City, NJ 07305Get directions →

Provider Business Mailing Address Details

Address
325 Danforth Ave
Apt 1B
Jersey City, NJ 07305-1928
City
Jersey City
State
NJ
Zip
07305-1928
Phone Number
551-208-3763

License Information

License Number
25MT00229100
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 Micah Camille T Baluyot, ATC?

The NPI number of Micah Camille T Baluyot, ATC is 1548717325. It was assigned on September 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Micah Camille T Baluyot, ATC?

Micah Camille T Baluyot, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00229100.

Where does Micah Camille T Baluyot, ATC practice?

The practice location is 325 Danforth Ave, Apt 1B, Jersey City, NJ 07305-1928. The office can be reached at 551-208-3763 (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 1548717325 directly on the NPPES registry website.

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