Active NPIIndividual provider

Mr. Carl A Payne, ATC

Specialist/Technologist, Athletic Trainer in Bloomfield, New Jersey

NPI Number1679775506
Practice location
467 Franklin St, Bloomfield, NJ 07003-3425
Fax
—
Last updated
July 8, 2007

Carl Adrian Payne is a Specialist/Technologist, Athletic Trainer based in Bloomfield, NJ. Carl Adrian Payne practices in Bloomfield, NJ and has the professional credentials of ATC. The NPI Number for Carl Adrian Payne is 1679775506 and holds a License No. 25MT00112000 (NJ). The current practice location address for Carl Adrian Payne is 467 Franklin St, Bloomfield, NJ 07003-3425 and can be reached out via phone at 973-748-9000.

Provider Profile Details

NPI Number
1679775506
Provider Name
Carl Adrian Payne
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
467 Franklin St, Bloomfield, NJ 07003-3425
Phone Number
973-748-9000
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
467 Franklin St
Bloomfield, NJ 07003-3425
Zip
07003-3425
Phone Number
973-748-9000
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
144 Mountainside Dr
Pompton Lakes, NJ 07442-1757
City
Pompton Lakes
State
NJ
Zip
07442-1757
Phone Number
973-616-4872

License Information

License Number
25MT00112000
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. Carl A Payne, ATC?

The NPI number of Mr. Carl A Payne, ATC is 1679775506. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Carl A Payne, ATC?

Mr. Carl A Payne, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00112000.

Where does Mr. Carl A Payne, ATC practice?

The practice location is 467 Franklin St, Bloomfield, NJ 07003-3425. The office can be reached at 973-748-9000 (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 1679775506 directly on the NPPES registry website.

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