DR. MICHAEL F LA FOUNTAINE (NPI# 1225656507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225656507 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL F LA FOUNTAINE |
| Credential | EDD, ATC, FACSM |
| Practice Address |
400 S Orange Ave South Orange NJ 07079-2697 |
| Practice Telephone | 9732752918 |
| Mailing Telephone | 9732752918 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00116500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 S ORANGE AVE |
| City | SOUTH ORANGE |
| State | NJ |
| Zip Code | 07079-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518937994 | Victoria Ellen Eftychiou | Nurse Practitioner | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2006-01-26 |
| 1881182954 | Kenley Harvey | Student in an Organized Health Care Education/Training Program | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2018-04-24 |
| 1861909038 | Nicholas Schulman | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2018-01-09 |
| 1750894234 | Eugenia Lavanant | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2017-11-07 |
| 1750756516 | Theodore Cowling | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2015-12-04 |
| 1316317936 | Katheryn Grajales | Physician Assistant | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2015-09-25 |
| 1295125037 | Kaaren Warnes | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2015-02-02 |
| 1285071134 | Carly Bischoff Mayer | Psychologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2013-06-02 |
| 1821338724 | Jillian M Duff | Physical Therapist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2013-03-01 |
| 1932486552 | Crista Ann Sciancalepore | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2011-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
| 1457731085 | Jespy House Inc. | Day Training, Developmentally Disabled Services | 343 Academy Street, South Orange, NJ 07079 | 2015-06-09 |
| 1760876460 | Dianne Marie Aguero-trotter | Psychologist | 400 South Orange Ave, South Orange, NJ 07079 | 2015-03-20 |
| 1679815922 | Beth L Sosin | Obstetrics & Gynecology | South Orange Ob/gyn & Infertility Group, 106 Valley Street, Ramp Entrance, South Orange, NJ 07079 | 2013-03-25 |
| 1790061745 | Obianuju Rita Mbamalu | Dentist | 71 Valley St Ste 100, South Orange, NJ 07079 | 2011-10-21 |
| 1669765061 | Aba 4 U | Behavioral Analyst | 4 South Orange Avenue Box 189, South Orange, NJ 07079 | 2011-05-18 |
| 1598903882 | Guiding Hands Pediatrics | Pediatrics | 179 Irvington Avenue, South Orange, NJ 07079 | 2009-01-26 |
| 1417161647 | Rosalyn Myrna Shapiro | Counselor | 346 Harding Drive, So Orange, NJ 07079 | 2007-05-09 |
| 1821200403 | Donald Raymond Reeves Jr. | Psychiatry & Neurology | 112 Raymond Avenue, South Orang, NJ 07079 | 2007-05-04 |
| Find all providers in zip 07079 | ||||
| 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 |
|---|---|---|---|---|
| 1114456159 | Kate Stoltz | Specialist/Technologist | 117 Vose Ave Apt 17, South Orange, NJ 07079-2059 | 2017-06-04 |
| 1861909038 | Nicholas Schulman | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2018-01-09 |
| 1750894234 | Eugenia Lavanant | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2017-11-07 |
| 1750756516 | Theodore Cowling | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2015-12-04 |
| 1295125037 | Kaaren Warnes | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2015-02-02 |
| 1932486552 | Crista Ann Sciancalepore | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2011-11-10 |
| 1215133244 | Mary E Murray | Specialist/Technologist | 400 S Orange Ave, South Orange, NJ 07079-2646 | 2007-06-26 |
| 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 | ||||
| City | SOUTH ORANGE |
| Zip Code | 07079 |
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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.