Daniel Deshong, ATC
Specialist/Technologist, Athletic Trainer in Port Monmouth, New Jersey
1558777904- Practice location
- 613 Park Ave, Port Monmouth, NJ 07758-1616
- Phone
- 201-401-7311
- Fax
- —
- Last updated
- July 7, 2014
Daniel Deshong is a Specialist/Technologist, Athletic Trainer based in Port Monmouth, NJ. Daniel Deshong practices in Port Monmouth, NJ and has the professional credentials of ATC. The NPI Number for Daniel Deshong is 1558777904 and holds a License No. 25MT00197800 (NJ). The current practice location address for Daniel Deshong is 613 Park Ave, Port Monmouth, NJ 07758-1616 and can be reached out via phone at 201-401-7311.
Provider Profile Details
- NPI Number
- 1558777904
- Provider Name
- Daniel Deshong
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 613 Park Ave, Port Monmouth, NJ 07758-1616
- Phone Number
- 201-401-7311
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 7, 2014
- Last Update Date
- July 7, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 613 Park Ave
Port Monmouth, NJ 07758-1616 - City
- Port Monmouth
- State
- New Jersey
- Zip
- 07758-1616
- Phone Number
- 201-401-7311
Provider Business Mailing Address Details
- Address
- 613 Park Ave
Port Monmouth, NJ 07758-1616 - City
- Port Monmouth
- State
- NJ
- Zip
- 07758-1616
License Information
- License Number
- 25MT00197800
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Daniel Deshong, ATC?
The NPI number of Daniel Deshong, ATC is 1558777904. It was assigned on July 7, 2014 and is currently active in the NPPES registry.
What is the specialty of Daniel Deshong, ATC?
Daniel Deshong, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00197800.
Where does Daniel Deshong, ATC practice?
The practice location is 613 Park Ave, Port Monmouth, NJ 07758-1616. The office can be reached at 201-401-7311 (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 1558777904 directly on the NPPES registry website.