Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON GUSTAVE
DeactivatedJASON GUSTAVE is a Athletic Trainer healthcare provider located in WAYNE, New Jersey. NPI 1164930285 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · WAYNE, NJ
This NPI has been deactivated.
The record was deactivated on April 9, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1164930285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2018 (0.24109589041096 yrs)
- Last Updated
- Dec 16, 2021
- Deactivated
- Apr 9, 2018
Practice Information
- Address
-
300 POMPTON RDWAYNE, NJ, 074702103Browse NJ providers · Browse ZIP 07470
- Phone
- 2017862277
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WAYNE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. ROBB S REHBERG | PHD, ATC, CSCS, EMT | 1962464313 |
| MISS MARGARET ELLEN DOHERTY | ATC | 1497776223 |
| MR. PATRICK JOSEPH TRIANO | MS, ATC, LAT | 1073636395 |
| MR. MARC CAMPOREALE | MA, ATC | 1033351143 |
| MS. ERICA STEPHANIE SIMONE | ATC, OTC | 1447668041 |
| MISS VICTORIA LOPES | — | 1558759977 |
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.