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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSHUA JIMENEZ

Active Sole Proprietor

JOSHUA JIMENEZ is a Athletic Trainer healthcare provider located in MILLBURN, New Jersey. NPI 1083185011 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MILLBURN, NJ

Registration Details

NPI Number
1083185011
Provider Type
Individual
Gender
Male
NPI Issued
Dec 17, 2018 (7.6419606797801 yrs)
Last Updated
Mar 12, 2020
Licenses
004074 (NY)
25MT00277400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
257 MAIN ST
MILLBURN, NJ, 070411167
Browse NJ providers · Browse ZIP 07041
Phone
8629000013
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in MILLBURN, NJ

Name Credential NPI
DONALD FRANK SMITH JR. ATC 1891706453
MS. MICHELE M DEMARTINO ATC 1689959975
LYDIA RUTLEDGE VOLLAVANH ATC 1215313119
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.