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Samuel Jacob Korolev , MS, ATC, L

Specialist/Technologist - Athletic Trainer β€’ Newark, DE

Active NPI 1720488018 Individual Practitioner Male Practitioner
Practice location in NPPES

631 S College Avenue, Dfh Athletic Training Room
Newark, DE 197162010

Call 3028318857 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

631 S College Avenue
Dfh Athletic Training Room

Newark, DE 197162010

Telephone 3028318857
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Athens, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Newark and Delaware

105 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Newark, DE (238 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

0% of these 105 clinicians have the CMS telehealth indicator.

1.9% of these 105 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

210 Whitehall Rd, 10 A

Athens, GA 306054268

Phone: 6095298875

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 13, 2019

Registered at 631 S COLLEGE AVENUE, DFH ATHLETIC TRAINING ROOM, NEWARK, DE 197162010 (Tel: 3028318857)

πŸ“
Updated Business Mailing Address January 13, 2019

Registered at 631 S COLLEGE AVENUE, DFH ATHLETIC TRAINING ROOM, NEWARK, DE 197162010 (Tel: 3028318857)

πŸ‘€
Provider Name / Credentials Updated January 13, 2019

Recorded as SAMUEL KOROLEV, MS, ATC/L

βœ…
NPI Profile Active September 15, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 15, 2015

Registered at 210 WHITEHALL RD, 10 A, ATHENS, GA 306054268 (Tel: 6095298875)

πŸ“
Business Mailing Address (Initial Record) September 15, 2015

Registered at 11 THOREAU DR, PLAINSBORO, NJ 085363017 (Tel: 6095298875)

πŸ‘€
Provider Name / Credentials (Initial Record) September 15, 2015

Recorded as SAMUEL KOROLEV, ATC/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2015

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration August 25, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720488018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2014
Last Update: January 13, 2019
Sole Proprietor: No

Other Specialist/Technologist - Athletic Trainers in Newark

Healthcare providers in Newark

Mailing Address

631 S College Avenue, Dfh Athletic Training Room

Newark, DE 197162010

Phone: 3028318857

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.