Frederic Jimenez, ATC, CSCS, USAW

Athletic Trainer · Bloomfield, NJ

Individual Active NPI

NPI number 1912556564

Practice location

467 Franklin St
Bloomfield, NJ 07003-3494
Phone
(973) 748-9000

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NPI record

NPI
1912556564
Entity type
Individual (Type 1)
Enumeration date
September 6, 2019
Last updated
September 6, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 25MT00159700 NJ

Mailing address

70b Fremont St Apt 15b
Bloomfield, NJ 07003-3464
Phone
(201) 303-1214

About Frederic Jimenez

Frederic Jimenez, ATC, CSCS, USAW is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 467 Franklin St, Bloomfield, NJ 07003-3494. The NPI number 1912556564 was assigned on September 6, 2019 and the record was last updated on September 6, 2019.

Frederic Jimenez lists a license in the registry: #25MT00159700 (NJ) 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 Frederic Jimenez, ATC, CSCS, USAW?

The NPI number is 1912556564.

What is the phone number of Frederic Jimenez?

The phone number listed for the practice location is (973) 748-9000.

Where is Frederic Jimenez located?

467 Franklin St, Bloomfield, NJ 07003-3494.

What is the taxonomy code for Frederic Jimenez?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

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.

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