Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SCOTT DAVID GRUDER MSED, ATC, CSCS
NPI 1316912827
Specialist/Technologist - Athletic Trainer in Patchogue, NY

Q: What is Scott Gruder's NPI number?

The NPI number for Scott Gruder is 1316912827. It was assigned to this individual provider in the NPPES registry on February 19, 2006.

Q: What is Scott Gruder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Gruder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.

Active since February 19, 2006

155 W ROE BLVD, ST. JOSEPH'S COLLEGE JOHN A DANZI ATHLETIC CENTER, PATCHOGUE, NY 11772(631) 447-3330 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Scott David Gruder Msed, Atc, Cscs NPPES

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

MR. SCOTT DAVID GRUDER MSED, ATC, CSCS (NPI 1316912827) is an individual athletic trainer provider in Patchogue, New York, licensed in New York (001091) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1316912827

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. SCOTT DAVID GRUDERCredential: MSED, ATC, CSCS

Location Address155 W ROE BLVD, ST. JOSEPH'S COLLEGE JOHN A DANZI ATHLETIC CENTERPatchogue, NY 11772-2325

Mailing Address64 Long Tree Ln, Apt 18Moriches, NY 11955-2050

Phone(631) 447-3330

Sole ProprietorNo

Enumeration DateFebruary 19, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1316912827 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 NY · 001091

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.

155 W ROE BLVD, Patchogue, NY 11772

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Other Providers at the Same Location NPPES 3

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

MRS. EMMA MIRANDA BURNS LAT, ATC

Specialist/Technologist (Athletic Trainer)

155 W ROE BLVD
PATCHOGUE, NY 11772

Suffolk County (631) 530-1959

MRS. KENDRA SAKAMOTO MS, ATC

Specialist/Technologist (Athletic Trainer)

155 W ROE BLVD
PATCHOGUE, NY 11772

Suffolk County (631) 447-3330

MR. ANDRE MICHAEL VENNER MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)

155 W ROE BLVD
PATCHOGUE, NY 11772

Suffolk County (914) 906-3735

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 Scott Gruder's NPI number?

The NPI number for Scott Gruder is 1316912827. It was assigned to this individual provider in the NPPES registry on February 19, 2006.

Where is Scott Gruder located?

Scott Gruder practices at 155 W Roe Blvd St. Joseph's College John A Danzi Athletic Center, Patchogue, NY 11772. The listed phone number is (631) 447-3330.

What is Scott Gruder'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 Scott Gruder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.