NPI Code Detail JSON Logo

1104961150 NPI number — METROPOLITAN INTERNAL MEDICINE ASSOCIATES PA

NPI Number: 1104961150
Health Care Provider/Practitioner: METROPOLITAN INTERNAL MEDICINE ASSOCIATES PA

Information about “1104961150” NPI (METROPOLITAN INTERNAL MEDICINE ASSOCIATES PA) exists in 1104961150 in HTML format HTML  |  1104961150 in plain Text format TXT  |  1104961150 in PDF (Portable Document Format) PDF  |  1104961150 in an XML format XML  formats.

NPI Number : 1104961150 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104961150",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "METROPOLITAN INTERNAL MEDICINE ASSOCIATES 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": "5616 SHIELDS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BETHESDA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20817-3532",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-897-5522",
    "MailingAddressFaxNumber": "301-897-2599",
    "FirstLinePracticeLocationAddress": "5616 SHIELDS DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BETHESDA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20817-3532",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-897-5522",
    "PracticeLocationAddressFaxNumber": "301-897-2599",
    "EnumerationDate": "02/20/2007",
    "LastUpdateDate": "05/14/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NIAK",
    "AuthorizedOfficialFirstName": "ALI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "301-897-5522",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "D0053269",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "D50220",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "D0056136",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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