Active NPIIndividual providerSole proprietor

Ms. Jennifer Basini, ATC

Specialist/Technologist, Athletic Trainer in Randolph, New Jersey

NPI Number1982944302
Practice location
1 Lake Dr, Randolph, NJ 07869-4165
Fax
—
Last updated
February 21, 2013

Jennifer Basini is a Specialist/Technologist, Athletic Trainer based in Randolph, NJ. Jennifer Basini practices in Randolph, NJ and has the professional credentials of ATC. The NPI Number for Jennifer Basini is 1982944302 and holds a License No. 25MT00051700 (NJ). The current practice location address for Jennifer Basini is 1 Lake Dr, Randolph, NJ 07869-4165 and can be reached out via phone at 908-647-4800.

Provider Profile Details

NPI Number
1982944302
Provider Name
Jennifer Basini
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1 Lake Dr, Randolph, NJ 07869-4165
Phone Number
908-647-4800
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2013
Last Update Date
February 21, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Lake Dr
Randolph, NJ 07869-4165
Zip
07869-4165
Phone Number
908-647-4800
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
1 Lake Dr
Randolph, NJ 07869-4165
City
Randolph
State
NJ
Zip
07869-4165

License Information

License Number
25MT00051700
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 Ms. Jennifer Basini, ATC?

The NPI number of Ms. Jennifer Basini, ATC is 1982944302. It was assigned on February 21, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer Basini, ATC?

Ms. Jennifer Basini, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00051700.

Where does Ms. Jennifer Basini, ATC practice?

The practice location is 1 Lake Dr, Randolph, NJ 07869-4165. The office can be reached at 908-647-4800 (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 1982944302 directly on the NPPES registry website.

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