Active NPIIndividual provider

Ms. Jenna L Bidoglio, ATC

Specialist/Technologist, Athletic Trainer in Bloomfield, New Jersey

NPI Number1962824367
Practice location
1 Mount Vernon Ave, Apartment 2, Bloomfield, NJ 07003-3992
Fax
—
Last updated
January 20, 2014

Jenna L. Bidoglio is a Specialist/Technologist, Athletic Trainer based in Bloomfield, NJ. Jenna L. Bidoglio practices in Bloomfield, NJ and has the professional credentials of ATC. The NPI Number for Jenna L. Bidoglio is 1962824367 and holds a License No. 25MT00165300 (NJ). The current practice location address for Jenna L. Bidoglio is 1 Mount Vernon Ave, Apartment 2, Bloomfield, NJ 07003-3992 and can be reached out via phone at 845-649-8885.

Provider Profile Details

NPI Number
1962824367
Provider Name
Jenna L. Bidoglio
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1 Mount Vernon Ave, Apartment 2, Bloomfield, NJ 07003-3992
Phone Number
845-649-8885
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
January 20, 2014
Last Update Date
January 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Mount Vernon Ave
Apartment 2
Bloomfield, NJ 07003-3992
Zip
07003-3992
Phone Number
845-649-8885
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1 Mount Vernon Ave
Apartment 2
Bloomfield, NJ 07003-3992
City
Bloomfield
State
NJ
Zip
07003-3992
Phone Number
845-649-8885

License Information

License Number (1)
25MT00165300
License State (1)
NJ
Taxonomy (1)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
License Number (2)
RT004918
License State (2)
PA

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 Ms. Jenna L Bidoglio, ATC?

The NPI number of Ms. Jenna L Bidoglio, ATC is 1962824367. It was assigned on January 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Jenna L Bidoglio, ATC?

Ms. Jenna L Bidoglio, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00165300.

Where does Ms. Jenna L Bidoglio, ATC practice?

The practice location is 1 Mount Vernon Ave, Apartment 2, Bloomfield, NJ 07003-3992. The office can be reached at 845-649-8885 (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 1962824367 directly on the NPPES registry website.

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