NPI Code Detail JSON Logo

1063721157 NPI number — NP:MOBILE NY FAMILY & PSYCHIATRIC HOUSE CALL SERVICE

NPI Number: 1063721157
Health Care Provider/Practitioner: NP:MOBILE NY FAMILY & PSYCHIATRIC HOUSE CALL SERVICE

Information about “1063721157” NPI (NP:MOBILE NY FAMILY & PSYCHIATRIC HOUSE CALL SERVICE) exists in 1063721157 in HTML format HTML  |  1063721157 in plain Text format TXT  |  1063721157 in PDF (Portable Document Format) PDF  |  1063721157 in an XML format XML  formats.

NPI Number : 1063721157 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063721157",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NP:MOBILE NY FAMILY & PSYCHIATRIC HOUSE CALL SERVICE",
    "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": "30 WALNUT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST HEMPSTEAD",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11552-2027",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-495-0174",
    "MailingAddressFaxNumber": "888-251-8186",
    "FirstLinePracticeLocationAddress": "30 WALNUT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST HEMPSTEAD",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11552-2027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-495-0174",
    "PracticeLocationAddressFaxNumber": "888-251-8186",
    "EnumerationDate": "10/06/2010",
    "LastUpdateDate": "09/11/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DINGWELL",
    "AuthorizedOfficialFirstName": "RONALD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP",
    "AuthorizedOfficialTelephoneNumber": "516-495-0174",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "400828-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F333307",
          "LicenseNumberStateCode": "NY",
          "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."
        },
        {
          "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."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.