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1124847801 NPI number — EMANUEL'S PLACE

NPI Number: 1124847801
Health Care Provider/Practitioner: EMANUEL'S PLACE

Information about “1124847801” NPI (EMANUEL'S PLACE) exists in 1124847801 in HTML format HTML  |  1124847801 in plain Text format TXT  |  1124847801 in PDF (Portable Document Format) PDF  |  1124847801 in an XML format XML  formats.

NPI Number : 1124847801 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124847801",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EMANUEL'S PLACE",
    "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": "3 KATIE CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREEHOLD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07728-8491",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-740-3079",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "462 SQUANKUM YELLOWBROOK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMINGDALE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07727-3775",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-740-3079",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/09/2024",
    "LastUpdateDate": "10/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COPPOLA",
    "AuthorizedOfficialFirstName": "SCOTT",
    "AuthorizedOfficialMiddleName": "JOHN",
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "215-740-3079",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251V00000X",
        "TaxonomyName": "Voluntary or Charitable Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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