MR. JOHN WAGNER (NPI# 1386697019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386697019 |
| Entity Type | Individual |
| Full Name | MR. JOHN WAGNER |
| Credential | ATC |
| Practice Address |
35 Colgate St Jersey City NJ 07302-3307 |
| Mailing Address |
510 Washington St Floor 2 Carlstadt NJ 07072-1508 |
| Practice Telephone | 2015472093 |
| Mailing Telephone | 2012455417 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00083700 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861802498 | John M. Wagner | Counselor | 1048 Sumac St, Longmont, CO 80501-4146 | 2014-05-05 |
| 1326323221 | John Wagner | Physical Therapist | 3079 Nestall Rd, Laguna Beach, CA 92651-2026 | 2011-10-12 |
| 1821384728 | John C Wagner | Pharmacist | 1703 Elm St W, Hampton, SC 29924 | 2011-06-20 |
| 1033320577 | John Wagner | Psychiatry & Neurology | 7330 Fern Ave Ste 704, Shreveport, LA 71105-4985 | 2007-05-25 |
| 1013044197 | John Daniel Wagner | Massage Therapist | 2315 N Pearl St Ste 10, Pmb 188, Tacoma, WA 98406-2553 | 2007-02-27 |
| 1588719066 | John J Wagner | Psychologist | 7374 Reading Rd Ste 110, Cincinnati, OH 45237-3409 | 2007-01-24 |
| 1033262340 | John D Wagner | Internal Medicine | 451 Clarkson Ave Rm B-1147, Kings County Hospital Center, Brooklyn, NY 11203-2054 | 2007-01-19 |
| 1942316385 | John Otto Wagner | Legal Medicine | 1950 Stanley Rd Bldg 2376, San Antonio Military Entrance Processing Station, Fort Sam Houston, TX 78234-7547 | 2006-08-21 |
| 1881635159 | John Adam Wagner | Chiropractor | 411 Hyde Park, Doylestown, PA 18902-6619 | 2006-06-09 |
| 1346221041 | John S Wagner | Chiropractor | 3778 Union St, Lafayette, IN 47905-4453 | 2005-11-09 |
| Street Address |
35 COLGATE ST |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138598 | Adam Carias | Specialist/Technologist | 18 Park View Ave Apt 314, Jersey City, NJ 07302-7381 | 2020-09-11 |
| 1922627751 | Karla Mejia | Specialist/Technologist | 110 Culver Ave, Jersey City, NJ 07305-1529 | 2020-04-12 |
| 1366962466 | Joseph L Lisella | Specialist/Technologist | 144 Grand St, Jersey City, NJ 07302-4431 | 2017-06-21 |
| 1841749751 | Jessica Holmes | Specialist/Technologist | 2641 John F Kennedy Blvd, Jersey City, NJ 07306-5943 | 2016-10-04 |
| 1548717325 | Micah Camille Talusan Baluyot | Specialist/Technologist | 325 Danforth Ave, Apt 1b, Jersey City, NJ 07305-1928 | 2016-09-08 |
| 1326469776 | Stephen Patrick Stracquatanio | Specialist/Technologist | 210 Zabriskie St, Jersey City, NJ 07307-4318 | 2014-01-01 |
| 1497877997 | Gianfranco Palangio | Specialist/Technologist | 2 Palisade Ave, Jersey City, NJ 07306-1202 | 2007-04-04 |
| 1598243545 | Erik Lindstrom | Specialist/Technologist | 2641 John F Kennedy Blvd, Jersey City, NJ 07306-0730 | 2018-08-01 |
| 1982151288 | Leanne N Griffith | Specialist/Technologist | 355 Grand St, Jersey City, NJ 07302 | 2016-09-02 |
| 1811381155 | Angel Leonel Montanez | Specialist/Technologist | 2641 Kennedy Blvd, Jersey City, NJ 07306-5943 | 2015-03-25 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
Please comment or provide details below to improve the information on MR. JOHN WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.