NPI Code Detail JSON Logo

1104305481 NPI number — XUEMING LISA YE MD PA

NPI Number: 1104305481
Health Care Provider/Practitioner: XUEMING LISA YE MD PA

Information about “1104305481” NPI (XUEMING LISA YE MD PA) exists in 1104305481 in HTML format HTML  |  1104305481 in plain Text format TXT  |  1104305481 in PDF (Portable Document Format) PDF  |  1104305481 in an XML format XML  formats.

NPI Number : 1104305481 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104305481",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "XUEMING LISA YE MD PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "981 US HIGHWAY 22",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRIDGEWATER",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08807-2946",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-526-8370",
    "MailingAddressFaxNumber": "908-801-6851",
    "FirstLinePracticeLocationAddress": "31 E DARRAH LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAWRENCEVILLE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08648-3763",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-403-6190",
    "PracticeLocationAddressFaxNumber": "908-801-6851",
    "EnumerationDate": "08/08/2018",
    "LastUpdateDate": "08/08/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YE",
    "AuthorizedOfficialFirstName": "XUEMING",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "908-526-8370",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "25MA07755200",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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