Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chad Mineo, STUDENT

Individual provider Athletic Trainer · NPI 1629534565

Chad Mineo, STUDENT is an Athletic Trainer in Nutley, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

17 Church St Apt 15
Nutley, NJ 07110-1675
Phone: (845) 709-2546
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1629534565
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorYes
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 15, 2019
Mailing address17 Church St Apt 15, Nutley, NJ 07110-1675

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