MARILYN (LYNN) G TEALE (NPI# 1396306031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396306031 |
| Entity Type | Individual |
| Full Name | MARILYN (LYNN) G TEALE |
| Practice Address |
1248 Sussex Tpk Unit B11 Randolph NJ 07869 |
| Mailing Address |
30 Petersburg Rd Hackettstown NJ 07840-4902 |
| Practice Telephone | 9734408370 |
| Mailing Telephone | 8454730468 |
| Mailing Fax Number | 8456251482 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2004AF | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CERTIFICATION | 2004AF | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 142 Lakeside Blvd, Landing, NJ 078501119 | 9744408370 | |
| 262 Main St Apt 1a, Hackettstown, NJ 078402073 | 9084030622 | |
| 285 Madison Ave, Madison, NJ 079401006 | 9734438500 |
| Street Address |
1248 SUSSEX TPK UNIT B11 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| 1013377506 | Brightview Randolph, LLC | Alzheimer Center (Dementia Center) | 175 Quaker Church Road, Randolph, NJ 07869 | 2016-02-26 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1376085654 | Brianna Dubois Mackay | Specialist/Technologist | 3 Hedding Dr, Apt 3-1, Randolph, VT 05060-1035 | 2016-11-17 |
| 1548702772 | Taylor Christian Fox | Specialist/Technologist | 214 Center Grove Rd, Randolph, NJ 07869-2007 | 2016-11-04 |
| 1598123853 | Matthew Degeorge | Specialist/Technologist | 70 Memorial Pkwy, Randolph, MA 02368-4506 | 2016-02-02 |
| 1164887543 | Vicci Hill | Specialist/Technologist | 49 Misty Mountain Rd, Randolph, NJ 07869-4777 | 2015-12-29 |
| 1861870461 | Kayla Volkert | Specialist/Technologist | 29101 Northfield Blvd, Randolph, MN 55065 | 2015-05-14 |
| 1982944302 | Jennifer Basini | Specialist/Technologist | 1 Lake Dr, Randolph, NJ 07869-4165 | 2013-02-21 |
| 1134354772 | Melissa Ann Wojcik | Specialist/Technologist | 104 Everdale Rd, Randolph, NJ 07869-2307 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255824 | Jennifer Druckman | Specialist/Technologist | 5 Rosedale Ter, Livingston, NJ 07039-3203 | 2020-11-03 |
| 1265033765 | Mariah Jade Hubbard | Specialist/Technologist | 13 Stoneybrook Dr Apt 11, Absecon, NJ 08201-4340 | 2020-11-03 |
| 1356941975 | Tyler Cahill | Specialist/Technologist | 10 Deshibe Ter, Vineland, NJ 08360-4902 | 2020-11-01 |
| 1821698606 | Elena Vaughan | Specialist/Technologist | 32 N Syracuse Dr, Cherry Hill, NJ 08034-1229 | 2020-10-29 |
| 1235736612 | Nicholas Christos Ratigan | Specialist/Technologist | 900 Parkway Ave, Ewing, NJ 08618-2390 | 2020-10-08 |
| 1265039622 | Jessica Veronica Fittipaldi | Specialist/Technologist | 170 Paulison Ave, Passaic, NJ 07055-4810 | 2020-10-07 |
| 1396352027 | Carolyn Goeckel | Specialist/Technologist | 401 Broadway Unit 28, Barnegat Light, NJ 08006-1616 | 2020-09-27 |
| 1861008914 | Erin Nicole Boccher | Specialist/Technologist | 89 Prestbury Ln, Somerset, NJ 08873-4783 | 2020-09-23 |
| 1174138598 | Adam Carias | Specialist/Technologist | 18 Park View Ave Apt 314, Jersey City, NJ 07302-7381 | 2020-09-11 |
| 1750993432 | Samantha Hummel | Specialist/Technologist | 1906 Hunters Ln, Wall Township, NJ 07719-4625 | 2020-08-23 |
| Find all providers with the same taxonomy | ||||
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| 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.