Active NPIIndividual provider

Mrs. Gabrielle Fallon, MS, LAT, ATC

Specialist/Technologist, Athletic Trainer in West Deptford, New Jersey

NPI Number1770937773
Practice location
1600 Crown Point RD, West Deptford, NJ 08093-1742
Fax
—
Last updated
December 8, 2023

Gabrielle Fallon is a Specialist/Technologist, Athletic Trainer based in West Deptford, NJ. Gabrielle Fallon practices in West Deptford, NJ and has the professional credentials of MS, LAT, ATC. The NPI Number for Gabrielle Fallon is 1770937773 and holds a License No. 25MT00239600 (NJ). The current practice location address for Gabrielle Fallon is 1600 Crown Point RD, West Deptford, NJ 08093-1742 and can be reached out via phone at 856-848-6110.

Provider Profile Details

NPI Number
1770937773
Provider Name
Gabrielle Fallon
Credential
MS, LAT, ATC
Provider Entity Type
Individual
Gender
Female
Address
1600 Crown Point RD, West Deptford, NJ 08093-1742
Phone Number
856-848-6110
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
April 16, 2016
Last Update Date
December 8, 2023
Certification Date
December 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1600 Crown Point RD
West Deptford, NJ 08093-1742
Zip
08093-1742
Phone Number
856-848-6110
West Deptford, NJ 08093Get directions →

Provider Business Mailing Address Details

Address
342 Frankford Ave
Blackwood, NJ 08012-3727
City
Blackwood
State
NJ
Zip
08012-3727
Phone Number
856-994-2536

License Information

License Number (1)
25MT00239600
License State (1)
NJ
Taxonomy (1)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialist/Technologist, Athletic Trainers near West Deptford, NJ

View all Specialist/Technologist, Athletic Trainers in West Deptford →

Frequently Asked Questions

What is the NPI number of Mrs. Gabrielle Fallon, MS, LAT, ATC?

The NPI number of Mrs. Gabrielle Fallon, MS, LAT, ATC is 1770937773. It was assigned on April 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Gabrielle Fallon, MS, LAT, ATC?

Mrs. Gabrielle Fallon, MS, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00239600.

Where does Mrs. Gabrielle Fallon, MS, LAT, ATC practice?

The practice location is 1600 Crown Point RD, West Deptford, NJ 08093-1742. The office can be reached at 856-848-6110 (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 1770937773 directly on the NPPES registry website.

Browse related providers