Jacqueline Cividanes, ATC
Specialist/Technologist, Athletic Trainer in Bloomfield, New Jersey
1922408293- Practice location
- 467 Franklin St, Athletics Department, Bloomfield, NJ 07003-3425
- Phone
- 973-748-9000
- Fax
- —
- Last updated
- August 24, 2014
Jacqueline Cividanes is a Specialist/Technologist, Athletic Trainer based in Bloomfield, NJ. Jacqueline Cividanes practices in Bloomfield, NJ and has the professional credentials of ATC. The NPI Number for Jacqueline Cividanes is 1922408293 and holds a License No. 25MT00192200 (NJ). The current practice location address for Jacqueline Cividanes is 467 Franklin St, Athletics Department, Bloomfield, NJ 07003-3425 and can be reached out via phone at 973-748-9000.
Provider Profile Details
- NPI Number
- 1922408293
- Provider Name
- Jacqueline Cividanes
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 467 Franklin St, Athletics Department, Bloomfield, NJ 07003-3425
- Phone Number
- 973-748-9000
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 24, 2014
- Last Update Date
- August 24, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 467 Franklin St
Athletics Department
Bloomfield, NJ 07003-3425 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3425
- Phone Number
- 973-748-9000
Provider Business Mailing Address Details
- Address
- 467 Franklin St
Athletics Department
Bloomfield, NJ 07003-3425 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3425
- Phone Number
- 973-748-9000
License Information
- License Number
- 25MT00192200
- 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 Jacqueline Cividanes, ATC?
The NPI number of Jacqueline Cividanes, ATC is 1922408293. It was assigned on August 24, 2014 and is currently active in the NPPES registry.
What is the specialty of Jacqueline Cividanes, ATC?
Jacqueline Cividanes, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00192200.
Where does Jacqueline Cividanes, ATC practice?
The practice location is 467 Franklin St, Athletics Department, 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 1922408293 directly on the NPPES registry website.