Jason Locicero, ATC
Specialist/Technologist, Athletic Trainer in Fair Lawn, New Jersey
1619366002- Practice location
- 14-00 Berdan Ave, Fair Lawn, NJ 07410-2155
- Phone
- 201-794-5450
- Fax
- —
- Last updated
- January 22, 2015
Jason Locicero is a Specialist/Technologist, Athletic Trainer based in Fair Lawn, NJ. Jason Locicero practices in Fair Lawn, NJ and has the professional credentials of ATC. The NPI Number for Jason Locicero is 1619366002 and holds a License No. 25MT00059900 (NJ). The current practice location address for Jason Locicero is 14-00 Berdan Ave, Fair Lawn, NJ 07410-2155 and can be reached out via phone at 201-794-5450.
Provider Profile Details
- NPI Number
- 1619366002
- Provider Name
- Jason Locicero
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14-00 Berdan Ave, Fair Lawn, NJ 07410-2155
- Phone Number
- 201-794-5450
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 22, 2015
- Last Update Date
- January 22, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14-00 Berdan Ave
Fair Lawn, NJ 07410-2155 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-2155
- Phone Number
- 201-794-5450
Provider Business Mailing Address Details
- Address
- 14-00 Berdan Ave
Fair Lawn, NJ 07410-2155 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-2155
- Phone Number
- 201-794-5450
License Information
- License Number
- 25MT00059900
- 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 Jason Locicero, ATC?
The NPI number of Jason Locicero, ATC is 1619366002. It was assigned on January 22, 2015 and is currently active in the NPPES registry.
What is the specialty of Jason Locicero, ATC?
Jason Locicero, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00059900.
Where does Jason Locicero, ATC practice?
The practice location is 14-00 Berdan Ave, Fair Lawn, NJ 07410-2155. The office can be reached at 201-794-5450 (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 1619366002 directly on the NPPES registry website.