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

JASON LOCICERO, A.T.C.

Active Sole Proprietor

JASON LOCICERO, A.T.C. is a Athletic Trainer healthcare provider located in FAIR LAWN, New Jersey. NPI 1619366002 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FAIR LAWN, NJ

Registration Details

NPI Number
1619366002
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2015 (11.549858132008 yrs)
Last Updated
Jan 22, 2015
License
25MT00059900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
14-00 BERDAN AVE
FAIR LAWN, NJ, 074102155
Browse NJ providers · Browse ZIP 07410
Phone
2017945450
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FAIR LAWN, NJ

Name Credential NPI
JACOB A SELTZER ATC 1861970220
SALVATORE A TACCONELLI PINCIOTTI 1225707441
CHELSEA PETILLO 1780433359
COURTNEY JEAN DEFEO ATC 1497591804
NICHOLAS MILEWSKI 1780417543
LAUREL-ANNE LAURETTA MASON 1073311775
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.