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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICHAEL FIDANZA
NPI 1093613812
Specialist/Technologist - Athletic Trainer in Matawan, NJ

Active since October 30, 2026

NPPES record added: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Fidanza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL FIDANZA (NPI 1093613812) is an individual athletic trainer provider in Matawan, New Jersey, licensed in New Jersey (25MT00297100) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1093613812
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMICHAEL FIDANZA
Location Address144 NJ-34Matawan, NJ 07747
Mailing Address169 Johnson RdMorris Plains, NJ 07950-2903 · (718) 702-5586
Phone(732) 316-5895
Sole ProprietorNo
Enumeration DateOctober 30, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1093613812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in NJ · 25MT00297100
Definition
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.
144 NJ-34, Matawan, NJ 07747
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA BARK OTR/L
Occupational Therapist
144 NJ-34
MATAWAN, NJ 07747
Monmouth County (732) 316-5895

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fidanza's NPI number?

The NPI number for Michael Fidanza is 1093613812. It was assigned to this individual provider in the NPPES registry on October 30, 2026.

Where is Michael Fidanza located?

Michael Fidanza practices at 144 Nj-34, Matawan, NJ 07747. The listed phone number is (732) 316-5895.

What is Michael Fidanza's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Michael Fidanza was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.