IndividualActive
Kemoy Davidson, LAT, ATC, NREMT
NPI 1528650751 · Athletic Trainer · Wayne, NJ
Provider details
- NPI number
- 1528650751
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC, NREMT
- Sex
- Male
- Sole proprietor
- No
- License
- 641258 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Emergency Medical Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Pompton Rd
Wayne, NJ 07470-2103
Phone: (973) 720-2000
Approximate (ZIP-level) locationGet directions
Mailing address
35 E Tryon Ave Apt 16
Teaneck, NJ 07666-6154
Registry dates
- Enumerated
- 2021-02-09
- Last updated
- 2021-02-27
- Certified
- 2021-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.