Justin Henry Corcoran, MSA, ATC, LAT
Athletic Trainer · Summit, NJ
Practice location
68 River RdSummit, NJ 07901-1450
- Phone
- (201) 277-0800
NPI record
- NPI
- 1487050902
- Entity type
- Individual (Type 1)
- Enumeration date
- November 11, 2014
- Last updated
- November 11, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
25MT00178900 | NJ |
| Athletic Trainer | 2255A2300X |
002266-1 | NY |
Mailing address
10 Layton Rd Apt 57Wantage, NJ 07461-1805
- Phone
- (973) 459-2319
About Justin Corcoran
Justin Henry Corcoran, MSA, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 68 River Rd, Summit, NJ 07901-1450. The NPI number 1487050902 was assigned on November 11, 2014 and the record was last updated on November 11, 2014.
Justin Corcoran lists 2 licenses in the registry: #25MT00178900 (NJ) for Athletic Trainer; #002266-1 (NY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Justin Henry Corcoran, MSA, ATC, LAT?
The NPI number is 1487050902.
What is the phone number of Justin Corcoran?
The phone number listed for the practice location is (201) 277-0800.
Where is Justin Corcoran located?
68 River Rd, Summit, NJ 07901-1450.
What is the taxonomy code for Justin Corcoran?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Summit
- Alysia Lopez23 Pearl St
- Ashley Murphy, ATC11 Overlook Rd