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

Mr. Scott David Gruder, MSED, ATC, CSCS

Individual provider Athletic Trainer · NPI 1316912827

Mr. Scott David Gruder, MSED, ATC, CSCS is an Athletic Trainer in Patchogue, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

155 W Roe Blvd St Joseph's College John A Danzi Athletic Ctr
Patchogue, NY 11772-2325
Phone: (631) 447-3330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 001091 (NY)

Record details

NPI number1316912827
Entity typeIndividual (Type 1)
GenderMale
Credentials MSED , ATC , CSCS
Sole proprietorNo
NPI enumeratedFebruary 19, 2006
Last updated in NPPESJuly 13, 2026

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