NPI Code Detail JSON Logo

1154904498 NPI number — STAY WELL HEALTH PEDIATRICS NP AND FAMILY HEALTH NP PLLC

NPI Number: 1154904498
Health Care Provider/Practitioner: STAY WELL HEALTH PEDIATRICS NP AND FAMILY HEALTH NP PLLC

Information about “1154904498” NPI (STAY WELL HEALTH PEDIATRICS NP AND FAMILY HEALTH NP PLLC) exists in 1154904498 in HTML format HTML  |  1154904498 in plain Text format TXT  |  1154904498 in PDF (Portable Document Format) PDF  |  1154904498 in an XML format XML  formats.

NPI Number : 1154904498 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154904498",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "STAY WELL HEALTH PEDIATRICS NP AND FAMILY HEALTH NP PLLC",
    "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": "85 E 10TH ST APT K",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10003-5457",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "85 E 10TH ST APT K",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10003-5457",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "929-373-3715",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/04/2021",
    "LastUpdateDate": "05/04/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KATINAS",
    "AuthorizedOfficialFirstName": "MARY ELIZABETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "NP",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "301-523-1869",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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