Active NPIIndividual providerSole proprietor

Mr. Nikitas Nicholaides, MS, ATC, CSCS, CFST2

Specialist/Technologist, Athletic Trainer in Ridgewood, New Jersey

NPI Number1912110966
Practice location
627 E Ridgewood Ave, Ridgewood, NJ 07450-3310
Fax
—
Last updated
November 2, 2011

Nikitas Nicholaides is a Specialist/Technologist, Athletic Trainer based in Ridgewood, NJ. Nikitas Nicholaides practices in Ridgewood, NJ and has the professional credentials of MS, ATC, CSCS, CFST2. The NPI Number for Nikitas Nicholaides is 1912110966 and holds a License No. 25mt00084300 (NJ). The current practice location address for Nikitas Nicholaides is 627 E Ridgewood Ave, Ridgewood, NJ 07450-3310 and can be reached out via phone at 201-670-2800.

Provider Profile Details

NPI Number
1912110966
Provider Name
Nikitas Nicholaides
Credential
MS, ATC, CSCS, CFST2
Provider Entity Type
Individual
Gender
Male
Address
627 E Ridgewood Ave, Ridgewood, NJ 07450-3310
Phone Number
201-670-2800
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2007
Last Update Date
November 2, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
627 E Ridgewood Ave
Ridgewood, NJ 07450-3310
Zip
07450-3310
Phone Number
201-670-2800
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
123 Honeysuckle Dr
Township Of Washington, NJ 07676-5263
City
Township Of Washington
State
NJ
Zip
07676-5263
Phone Number
201-664-1010

License Information

License Number
25mt00084300
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. Nikitas Nicholaides, MS, ATC, CSCS, CFST2?

The NPI number of Mr. Nikitas Nicholaides, MS, ATC, CSCS, CFST2 is 1912110966. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Nikitas Nicholaides, MS, ATC, CSCS, CFST2?

Mr. Nikitas Nicholaides, MS, ATC, CSCS, CFST2 is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25mt00084300.

Where does Mr. Nikitas Nicholaides, MS, ATC, CSCS, CFST2 practice?

The practice location is 627 E Ridgewood Ave, Ridgewood, NJ 07450-3310. The office can be reached at 201-670-2800 (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 1912110966 directly on the NPPES registry website.

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