Active NPIIndividual providerSole proprietor

Frederic Jimenez, ATC, CSCS, USAW

Specialist/Technologist, Athletic Trainer in Bloomfield, New Jersey

NPI Number1912556564
Practice location
467 Franklin St, Bloomfield, NJ 07003-3494
Fax
—
Last updated
September 6, 2019

Frederic Jimenez is a Specialist/Technologist, Athletic Trainer based in Bloomfield, NJ. Frederic Jimenez practices in Bloomfield, NJ and has the professional credentials of ATC, CSCS, USAW. The NPI Number for Frederic Jimenez is 1912556564 and holds a License No. 25MT00159700 (NJ). The current practice location address for Frederic Jimenez is 467 Franklin St, Bloomfield, NJ 07003-3494 and can be reached out via phone at 973-748-9000.

Provider Profile Details

NPI Number
1912556564
Provider Name
Frederic Jimenez
Credential
ATC, CSCS, USAW
Provider Entity Type
Individual
Gender
Male
Address
467 Franklin St, Bloomfield, NJ 07003-3494
Phone Number
973-748-9000
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2019
Last Update Date
September 6, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
467 Franklin St
Bloomfield, NJ 07003-3494
Zip
07003-3494
Phone Number
973-748-9000
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
70B Fremont St Apt 15B
Bloomfield, NJ 07003-3464
City
Bloomfield
State
NJ
Zip
07003-3464
Phone Number
201-303-1214

License Information

License Number
25MT00159700
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 Frederic Jimenez, ATC, CSCS, USAW?

The NPI number of Frederic Jimenez, ATC, CSCS, USAW is 1912556564. It was assigned on September 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Frederic Jimenez, ATC, CSCS, USAW?

Frederic Jimenez, ATC, CSCS, USAW is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00159700.

Where does Frederic Jimenez, ATC, CSCS, USAW practice?

The practice location is 467 Franklin St, Bloomfield, NJ 07003-3494. 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 1912556564 directly on the NPPES registry website.

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