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

Individual provider Athletic Trainer · NPI 1790380970

Jesse Tristian Leon, LAT, ATC is an Athletic Trainer in Edison, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5 Carmello Dr
Edison, NJ 08817-3025
Phone: (732) 991-6678
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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 25MT00281700 (NJ)

Record details

NPI number1790380970
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedDecember 3, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020

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