NPI Code Detail JSON Logo

1245364223 NPI number — MARY IMMACULATE HOSPITAL

NPI Number: 1245364223
Health Care Provider/Practitioner: MARY IMMACULATE HOSPITAL

Information about “1245364223” NPI (MARY IMMACULATE HOSPITAL) exists in 1245364223 in HTML format HTML  |  1245364223 in plain Text format TXT  |  1245364223 in PDF (Portable Document Format) PDF  |  1245364223 in an XML format XML  formats.

NPI Number : 1245364223 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245364223",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MARY IMMACULATE HOSPITAL",
    "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": "152-11 89TH AVE.",
    "SecondLineMailingAddress": "MARY IMMACULATE HOSPITAL ,",
    "MailingAddressCityName": "JAMAICA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11432-1108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-558-2714",
    "MailingAddressFaxNumber": "718-558-2166",
    "FirstLinePracticeLocationAddress": "24 NIGHT HERON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STONY BROOK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11790-1108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-689-5654",
    "PracticeLocationAddressFaxNumber": "718-558-2166",
    "EnumerationDate": "03/14/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RUDER",
    "AuthorizedOfficialFirstName": "USHA",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "CHAIR, PATHOLOGY DEPARTMENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "715-558-2714",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282NC0060X",
        "TaxonomyName": "Critical Access Hospital",
        "LicenseNumber": "115646",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.