DYLAN CHURCH (NPI# 1902322167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902322167 |
| Entity Type | Individual |
| Full Name | DYLAN CHURCH |
| Credential | LAT,ATC |
| Practice Address |
13 Goldsmith Dr Spotswood NJ 08884-1032 |
| Practice Telephone | 9082399392 |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2017-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00242600 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13 GOLDSMITH DR |
| City | SPOTSWOOD |
| State | NJ |
| Zip Code | 08884-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972606 | Powerarm Adult Care | Day Training, Developmentally Disabled Services | 12 Snowhill Street, Spotswood, NJ 08884 | 2020-04-29 |
| 1689101909 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Lakeview Drive, Spotswood, NJ 08884 | 2017-05-17 |
| 1538525530 | Junghwan Seo | Chiropractor | 12 Snowhill St Ste 3, Spotswood, NJ 08884 | 2016-01-06 |
| 1154823565 | New Season Health Clinic LLC | Acupuncturist | 12 Snowhill St Ste 3, Spotswood, NJ 08884 | 2018-03-01 |
| 1043477748 | James H Anderson | Dentist | 296 Summerhill Rd, Suite 1, Spotswood, NJ 08884 | 2008-05-20 |
| 1821448424 | Stephanie Shamin | Behavioral Analyst | 32 2nd St, Spotswood, NJ 08884-1031 | 2016-06-15 |
| 1922620012 | David Azer | Pharmacist | 9 Goldsmith Dr, Spotswood, NJ 08884-1032 | 2020-05-11 |
| 1124390471 | Mina Azer | Pharmacist | 25 Gordon Ave, Spotswood, NJ 08884-1061 | 2012-02-02 |
| 1093195984 | Anna Alicia Teryek | Respite Care | 85 Szymanski Dr, Spotswood, NJ 08884-1074 | 2015-06-04 |
| 1164543971 | Maria A Gallegos-alvarez | Registered Nurse | 18 Samantha Way, Spotswood, NJ 08884-1082 | 2007-04-02 |
| Find all providers in zip 08884 | ||||
| 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 |
|---|---|---|---|---|
| 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.