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1053808915 NPI number — CAITLIN JEAN KARCICH

NPI Number: 1053808915
Health Care Provider/Practitioner: CAITLIN JEAN KARCICH

Information about “1053808915” NPI (CAITLIN JEAN KARCICH) exists in 1053808915 in HTML format HTML  |  1053808915 in plain Text format TXT  |  1053808915 in PDF (Portable Document Format) PDF  |  1053808915 in an XML format XML  formats.

NPI Number : 1053808915 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053808915",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KARCICH",
    "FirstName": "CAITLIN",
    "MiddleName": "JEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WELSH",
    "OtherFirstName": "CAITLIN",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "48 BURCH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORRIS PLAINS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07950-2125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-256-9180",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 LYONS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07112",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-926-7000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/17/2018",
    "LastUpdateDate": "07/12/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "26NR14406700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "26NR14406700",
          "LicenseNumberStateCode": "NJ",
          "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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