MEDICARE: ADAM CARIAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	2000030611	NJ

General Provider Information

NPI Number	:	1174138598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM CARIAS

Provider Business Mailing Address
First Line	:	295 JOHNSTON AVE APT 568
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-4330
Country	:	US
Telephone Number	:	732-791-8027
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 PARK VIEW AVE APT 314
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-7381
Country	:	US
Telephone Number	:	732-791-8027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2020
Last Update Date	:	10/11/2020

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Directions to “ ADAM CARIAS ” Practice Location

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