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

Jacqueline Cividanes, ATC

Individual provider Athletic Trainer · NPI 1922408293

Jacqueline Cividanes, ATC is an Athletic Trainer in Bloomfield, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

467 Franklin St Athletics Dept
Bloomfield, NJ 07003-3425
Phone: (973) 748-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00192200 (NJ)

Record details

NPI number1922408293
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 24, 2014
Last updated in NPPESAugust 24, 2014
Mailing address467 Franklin St, Athletics Department, Bloomfield, NJ 07003-3425

Other providers in Bloomfield