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

MR. NIKITAS NICHOLAIDES, MS, ATC, CSCS, CFST2

Active Sole Proprietor

MR. NIKITAS NICHOLAIDES, MS, ATC, CSCS, CFST2 is a Athletic Trainer healthcare provider located in RIDGEWOOD, New Jersey. NPI 1912110966 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · RIDGEWOOD, NJ

Registration Details

NPI Number
1912110966
Provider Type
Individual
Gender
Male
NPI Issued
May 7, 2007 (19.23709173528 yrs)
Last Updated
Nov 2, 2011
License
25MT00084300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
627 E RIDGEWOOD AVE
RIDGEWOOD, NJ, 074503310
Browse NJ providers · Browse ZIP 07450
Phone
2016702800
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in RIDGEWOOD, NJ

Name Credential NPI
MS. KAREN ANN KAROSY M.ED, ATC 1245268523
JOHN PALMER 1013012988
MR. DONALD TOMASZEWSKI ATC/L 1922434869
SARAH L EDGE ATC 1780008821
GIAVANNA DESIMONE LAT, ATC 1740883719
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.