NPI Code Detail JSON Logo

1174488845 NPI number — MD ALLY SERVICES PA

NPI Number: 1174488845
Health Care Provider/Practitioner: MD ALLY SERVICES PA

Information about “1174488845” NPI (MD ALLY SERVICES PA) exists in 1174488845 in HTML format HTML  |  1174488845 in plain Text format TXT  |  1174488845 in PDF (Portable Document Format) PDF  |  1174488845 in an XML format XML  formats.

NPI Number : 1174488845 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174488845",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MD ALLY SERVICES PA",
    "ParentOrgTIN": null,
    "OrgName": "MD ALLY SERVICES 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": "348 W 57TH ST STE 180",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10019-3702",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "844-933-1911",
    "MailingAddressFaxNumber": "866-326-5428",
    "FirstLinePracticeLocationAddress": "3190 S VAUGHN WAY STE 550",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AURORA",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80014-3538",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-933-1911",
    "PracticeLocationAddressFaxNumber": "866-326-5428",
    "EnumerationDate": "12/16/2025",
    "LastUpdateDate": "12/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FAIRL",
    "AuthorizedOfficialFirstName": "KAYLA",
    "AuthorizedOfficialMiddleName": "K",
    "AuthorizedOfficialTitle": "LCES",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "817-913-8837",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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