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1003121013 NPI number — NORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE

NPI Number: 1003121013
Health Care Provider/Practitioner: NORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE

Information about “1003121013” NPI (NORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE) exists in 1003121013 in HTML format HTML  |  1003121013 in plain Text format TXT  |  1003121013 in PDF (Portable Document Format) PDF  |  1003121013 in an XML format XML  formats.

NPI Number : 1003121013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003121013",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "201 PORTION RD",
    "SecondLineMailingAddress": "SUITE C",
    "MailingAddressCityName": "LAKE RONKONKOMA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11779-4172",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-585-5959",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 PORTION RD",
    "SecondLinePracticeLocationAddress": "SUITE C",
    "PracticeLocationAddressCityName": "LAKE RONKONKOMA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11779-4172",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-585-5959",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2010",
    "LastUpdateDate": "08/13/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STREET",
    "AuthorizedOfficialFirstName": "JANET",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "631-351-3703",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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