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1184448730 NPI number — CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC

NPI Number: 1184448730
Health Care Provider/Practitioner: CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC

Information about “1184448730” NPI (CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC) exists in 1184448730 in HTML format HTML  |  1184448730 in plain Text format TXT  |  1184448730 in PDF (Portable Document Format) PDF  |  1184448730 in an XML format XML  formats.

NPI Number : 1184448730 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184448730",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC",
    "ParentOrgTIN": null,
    "OrgName": "CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC",
    "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": "3401 CIVIC CENTER BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19104-4319",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-590-1000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "101 PLAINSBORO RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLAINSBORO",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08536-1978",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-520-1717",
    "PracticeLocationAddressFaxNumber": "267-425-9550",
    "EnumerationDate": "11/11/2024",
    "LastUpdateDate": "01/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLOCCO",
    "AuthorizedOfficialFirstName": "LINDA",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "VICE CHAIR ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "215-590-2700",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207T00000X",
        "TaxonomyName": "Neurological Surgery 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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