NPI Code Detail JSON Logo

1003710088 NPI number — EMAN SOULTAN MEDICAL PC

NPI Number: 1003710088
Health Care Provider/Practitioner: EMAN SOULTAN MEDICAL PC

Information about “1003710088” NPI (EMAN SOULTAN MEDICAL PC) exists in 1003710088 in HTML format HTML  |  1003710088 in plain Text format TXT  |  1003710088 in PDF (Portable Document Format) PDF  |  1003710088 in an XML format XML  formats.

NPI Number : 1003710088 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003710088",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EMAN SOULTAN MEDICAL PC",
    "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": "34 OCEAN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STATEN ISLAND",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10301-4563",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-759-1999",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1191 FOREST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STATEN ISLAND",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10310-2408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-759-1999",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2026",
    "LastUpdateDate": "10/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SALVADOR",
    "AuthorizedOfficialFirstName": "MELODY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BILLER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "917-495-6702",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207VG0400X",
          "TaxonomyName": "Gynecology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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