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1134768591 NPI number — HOUSE MEDICAL PLLC

NPI Number: 1134768591
Health Care Provider/Practitioner: HOUSE MEDICAL PLLC

Information about “1134768591” NPI (HOUSE MEDICAL PLLC) exists in 1134768591 in HTML format HTML  |  1134768591 in plain Text format TXT  |  1134768591 in PDF (Portable Document Format) PDF  |  1134768591 in an XML format XML  formats.

NPI Number : 1134768591 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134768591",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOUSE MEDICAL PLLC",
    "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": "5018 EXPRESS DR S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RONKONKOMA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11779-5589",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "833-266-7171",
    "MailingAddressFaxNumber": "631-209-5129",
    "FirstLinePracticeLocationAddress": "5018 EXPRESS DR S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RONKONKOMA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11779-5589",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-266-7171",
    "PracticeLocationAddressFaxNumber": "631-209-5129",
    "EnumerationDate": "01/03/2020",
    "LastUpdateDate": "12/07/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHARMA",
    "AuthorizedOfficialFirstName": "SUNIL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/ PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "833-266-7171",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RH0002X",
          "TaxonomyName": "Hospice and Palliative Medicine (Internal Medicine) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "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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