NPI Code Detail JSON Logo

1225792963 NPI number — METRO PHYSICAL OCCUPATIONAL AND SPEECH THERAPY OF NEW JERSEY LLC

NPI Number: 1225792963
Health Care Provider/Practitioner: METRO PHYSICAL OCCUPATIONAL AND SPEECH THERAPY OF NEW JERSEY LLC

Information about “1225792963” NPI (METRO PHYSICAL OCCUPATIONAL AND SPEECH THERAPY OF NEW JERSEY LLC) exists in 1225792963 in HTML format HTML  |  1225792963 in plain Text format TXT  |  1225792963 in PDF (Portable Document Format) PDF  |  1225792963 in an XML format XML  formats.

NPI Number : 1225792963 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225792963",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "METRO PHYSICAL OCCUPATIONAL AND SPEECH THERAPY OF NEW JERSEY LLC",
    "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": "800 E GATE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GARDEN CITY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11530-2105",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-745-8070",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "800 E GATE BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GARDEN CITY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11530-2105",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-745-8070",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/28/2021",
    "LastUpdateDate": "10/28/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GLASSER-MAYRSOHN",
    "AuthorizedOfficialFirstName": "SHERRIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSPT",
    "AuthorizedOfficialTelephoneNumber": "516-745-8070",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "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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