KEMOY DAVIDSON LAT, ATC, NREMT
NPI 1528650751
Specialist/Technologist - Athletic Trainer in Wayne, NJ

Q: What is Kemoy Davidson's NPI number?

The NPI number for Kemoy Davidson is 1528650751. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Q: What is Kemoy Davidson'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 Kemoy Davidson was last updated on February 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 09, 2021

300 POMPTON RD, WAYNE, NJ 07470(973) 720-2000 Get Directions Write a Review

NPPES record last updated: February 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2021, Feb 9, 2021 (2 updates tracked since 2021).

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About Kemoy Davidson Lat, Atc, Nremt NPPES

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

KEMOY DAVIDSON LAT, ATC, NREMT (NPI 1528650751) is an individual athletic trainer provider in Wayne, New Jersey, licensed in New Jersey (25MT00283300) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1528650751

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameKEMOY DAVIDSONCredential: LAT, ATC, NREMT

Location Address300 POMPTON RDWayne, NJ 07470-2103

Mailing Address35 E Tryon Ave Apt 16Teaneck, NJ 07666-6154 · (201) 530-5064

Phone(973) 720-2000

Sole ProprietorNo

Enumeration DateFebruary 9, 2021

Last NPPES UpdateFebruary 27, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2021

✔ NPI 1528650751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NJ · 25MT00283300

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.

Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 641258 (NJ)

300 POMPTON RD, Wayne, NJ 07470

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Other Providers at the Same Location NPPES 20

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

BAILEY WYROSTEK ATC

Specialist/Technologist (Athletic Trainer)

300 POMPTON RD
WAYNE, NJ 07470

Passaic County (973) 720-2000

CARLOS MOREIRA

Student in an Organized Health Care Education/Training Program

300 POMPTON RD
WAYNE, NJ 07470

Passaic County (973) 720-2000

JASON GUSTAVE

Specialist/Technologist (Athletic Trainer)

300 POMPTON RD
WAYNE, NJ 07470

Passaic County (201) 786-2277

FAZIA WEAVER NP

Nurse Practitioner (Adult Health)

300 POMPTON RD
WAYNE, NJ 07470

Passaic County (973) 720-2956

SAMANTHA CORALLO

Student in an Organized Health Care Education/Training Program

300 POMPTON RD
WAYNE, NJ 07470

Passaic County (973) 720-2000

ISAIAH FORESTER-KOOMSON

Student in an Organized Health Care Education/Training Program

300 POMPTON RD
WAYNE, NJ 07470

Passaic County (973) 720-2000

KATHERINE A HINIC RN, APRN

Nurse Practitioner (Adult Health)

300 POMPTON RD, WPU HEALTH & WELLNESS CENTER OVERLOOK SOUTH
WAYNE, NJ 07470

Passaic County (973) 720-2360

MS. JANSENIA DIANE MILLARES MSN, APRN, FNP-C

Nurse Practitioner (Family)

300 POMPTON RD
WAYNE, NJ 07470

Passaic County (973) 720-2000

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 Kemoy Davidson's NPI number?

The NPI number for Kemoy Davidson is 1528650751. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Where is Kemoy Davidson located?

Kemoy Davidson practices at 300 Pompton Rd, Wayne, NJ 07470. The listed phone number is (973) 720-2000.

What is Kemoy Davidson'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 Kemoy Davidson was last updated on February 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.