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1235779877 NPI number — PREMIER VEIN CARE OF N.J., L.L.C.

NPI Number: 1235779877
Health Care Provider/Practitioner: PREMIER VEIN CARE OF N.J., L.L.C.

Information about “1235779877” NPI (PREMIER VEIN CARE OF N.J., L.L.C.) exists in 1235779877 in HTML format HTML  |  1235779877 in plain Text format TXT  |  1235779877 in PDF (Portable Document Format) PDF  |  1235779877 in an XML format XML  formats.

NPI Number : 1235779877 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235779877",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PREMIER VEIN CARE OF N.J., L.L.C.",
    "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": "822 NORTH WOOD AVE",
    "SecondLineMailingAddress": "3RD FLOOR, SUITE 2",
    "MailingAddressCityName": "LINDEN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07036",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-718-7670",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "822 NORTH WOOD AVE",
    "SecondLinePracticeLocationAddress": "3RD FLOOR, SUITE 2",
    "PracticeLocationAddressCityName": "LINDEN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07036",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-718-7670",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/12/2020",
    "LastUpdateDate": "01/12/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SALEH",
    "AuthorizedOfficialFirstName": "RANY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.O.",
    "AuthorizedOfficialTelephoneNumber": "732-718-7670",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QA1903X",
          "TaxonomyName": "Ambulatory Surgical Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP1100X",
          "TaxonomyName": "Podiatric Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM1300X",
          "TaxonomyName": "Multi-Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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