Giavanna Desimone, LAT, ATC
Specialist/Technologist, Athletic Trainer in Ridgewood, New Jersey
1740883719- Practice location
- 321 Goffle RD, Ridgewood, NJ 07450-4033
- Phone
- 201-206-1516
- Fax
- —
- Last updated
- November 20, 2020
Giavanna Desimone is a Specialist/Technologist, Athletic Trainer based in Ridgewood, NJ. Giavanna Desimone practices in Ridgewood, NJ and has the professional credentials of LAT, ATC. The NPI Number for Giavanna Desimone is 1740883719 and holds a License No. 25MT00264900 (NJ). The current practice location address for Giavanna Desimone is 321 Goffle RD, Ridgewood, NJ 07450-4033 and can be reached out via phone at 201-206-1516.
Provider Profile Details
- NPI Number
- 1740883719
- Provider Name
- Giavanna Desimone
- Credential
- LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 321 Goffle RD, Ridgewood, NJ 07450-4033
- Phone Number
- 201-206-1516
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 20, 2020
- Last Update Date
- November 20, 2020
- Certification Date
- November 20, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 321 Goffle RD
Ridgewood, NJ 07450-4033 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-4033
- Phone Number
- 201-206-1516
Provider Business Mailing Address Details
- Address
- 321 Goffle RD
Ridgewood, NJ 07450-4033 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-4033
- Phone Number
- 201-206-1516
License Information
- License Number
- 25MT00264900
- 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 Giavanna Desimone, LAT, ATC?
The NPI number of Giavanna Desimone, LAT, ATC is 1740883719. It was assigned on November 20, 2020 and is currently active in the NPPES registry.
What is the specialty of Giavanna Desimone, LAT, ATC?
Giavanna Desimone, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00264900.
Where does Giavanna Desimone, LAT, ATC practice?
The practice location is 321 Goffle RD, Ridgewood, NJ 07450-4033. The office can be reached at 201-206-1516 (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 1740883719 directly on the NPPES registry website.