NPI Code Detail JSON Logo

1104730399 NPI number — NOVUM UROLOGY

NPI Number: 1104730399
Health Care Provider/Practitioner: NOVUM UROLOGY

Information about “1104730399” NPI (NOVUM UROLOGY) exists in 1104730399 in HTML format HTML  |  1104730399 in plain Text format TXT  |  1104730399 in PDF (Portable Document Format) PDF  |  1104730399 in an XML format XML  formats.

NPI Number : 1104730399 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104730399",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NOVUM UROLOGY",
    "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": "2947 CHEW ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALLENTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18104-5367",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "48 TUNNEL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POTTSVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17901-3875",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-952-7571",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/02/2026",
    "LastUpdateDate": "10/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHANNES",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "UROLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "610-952-7571",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208800000X",
        "TaxonomyName": "Urology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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