MR. MICHAEL ANTHONY PRYBICIEN (NPI# 1891767901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891767901 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANTHONY PRYBICIEN |
| Credential | A.T.C. EMTB, C.S.C.S |
| Practice Address |
799 Bloomfield Avenue Suite 304 Verona NJ 07044-1301 |
| Mailing Address |
102 Patricia Pl Clifton NJ 07012-1855 |
| Practice Telephone | 9735710001 |
| Practice Fax Number | 9735714170 |
| Mailing Telephone | 9735949651 |
| Mailing Fax Number | 9735714170 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | NJ | Emergency Medical Service Providers | |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT001246A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
25MT00062100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
799 BLOOMFIELD AVENUE SUITE 304 |
| City | VERONA |
| State | NJ |
| Zip Code | 07044-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528199890 | Mountainside Family Practice Associates - Merit | Psychologist | 799 Bloomfield Avenue, Suite 201, Verona, NJ 07044-0000 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726017 | John Roland Yeiser IIi | Student in an Organized Health Care Education/Training Program | Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 | 2020-03-26 |
| 1962989582 | Karen E Carlough | Massage Therapist | 80 Pompton Ave, 3rd Floor, Verona, NJ 07044 | 2018-07-26 |
| 1063935302 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Green Acres, #75, Verona, NJ 07044 | 2017-07-19 |
| 1891224150 | Karen Gorman | Counselor | 12 Kenwood Ave, Verona, NJ 07044 | 2017-06-08 |
| 1154706208 | Leonard Gallo | Counselor | 3 Overhill Rd, Verona, NJ 07044 | 2015-07-29 |
| 1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
| 1457676454 | Nadine Lauer | Marriage & Family Therapist | 685 Bloomfield Ave, Suite 201, Verona, NJ 07044 | 2010-04-01 |
| 1003147026 | Anthony Goss | Occupational Therapist | 276 Linden Avenue, Verona, NJ 07044 | 2010-01-15 |
| 1487836243 | Jerome Geyer | Dentist | 338 Bloomfield Avenue, Verona, NJ 07044 | 2007-12-03 |
| 1942407861 | Satya D Narisety | Allergy & Immunology | 197 Bloomfield Avenue, Verona, NJ 07044 | 2007-07-03 |
| Find all providers in zip 07044 | ||||
| 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 |
|---|---|---|---|---|
| 1538623418 | Kaylee Belohlavek | Specialist/Technologist | 207 Golden Gate Dr, Verona, PA 15147-2607 | 2019-01-25 |
| 1669975199 | Hillary Bell | Specialist/Technologist | 411 Bloomfield Ave Apt C4, Verona, NJ 07044-2021 | 2018-03-12 |
| 1326587890 | Quincy Raeann Roman | Specialist/Technologist | 815 Enterprise Dr, Verona, WI 53593-1919 | 2017-02-16 |
| 1528502655 | Michael Molinaro | Specialist/Technologist | 118 Elmwood Rd, Verona, NJ 07044-2508 | 2016-12-08 |
| 1124486428 | Danitza Nicklow | Specialist/Technologist | 6124 Verona Rd, Verona, PA 15147-2835 | 2016-02-02 |
| 1427334986 | Melissa E Hensler | Specialist/Technologist | 1344 Barbara Dr, Verona, PA 15147-2455 | 2011-10-28 |
| 1962718742 | Jason Joseph Calo | Specialist/Technologist | 151 Fairview Ave, Verona, NJ 07044-1320 | 2010-08-31 |
| 1407091994 | Philip Joseph Hensler | Specialist/Technologist | 1656 Vista View Dr, Verona, PA 15147-1919 | 2008-12-11 |
| 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 | ||||
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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.