NPI Code Detail JSON Logo

1174410997 NPI number — CENTRAL IPA INC

NPI Number: 1174410997
Health Care Provider/Practitioner: CENTRAL IPA INC

Information about “1174410997” NPI (CENTRAL IPA INC) exists in 1174410997 in HTML format HTML  |  1174410997 in plain Text format TXT  |  1174410997 in PDF (Portable Document Format) PDF  |  1174410997 in an XML format XML  formats.

NPI Number : 1174410997 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174410997",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTRAL IPA INC",
    "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": "13703 NORTHERN BLVD FL 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLUSHING",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11354-4116",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "929-629-8277",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13703 NORTHERN BLVD FL 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FLUSHING",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11354-4116",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "929-629-8277",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2025",
    "LastUpdateDate": "08/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHEN",
    "AuthorizedOfficialFirstName": "QI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "929-629-8277",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "302F00000X",
        "TaxonomyName": "Exclusive Provider Organization",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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