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1265675516 NPI number — SAMIR KAPADIA MD

NPI Number: 1265675516
Health Care Provider/Practitioner: SAMIR KAPADIA MD

Information about “1265675516” NPI (SAMIR KAPADIA MD) exists in 1265675516 in HTML format HTML  |  1265675516 in plain Text format TXT  |  1265675516 in PDF (Portable Document Format) PDF  |  1265675516 in an XML format XML  formats.

NPI Number : 1265675516 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265675516",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KAPADIA",
    "FirstName": "SAMIR",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 FEDERAL ST STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAMDEN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08103-1088",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "848-288-6935",
    "MailingAddressFaxNumber": "732-790-0107",
    "FirstLinePracticeLocationAddress": "2 STONE HARBOR BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAPE MAY COURT HOUSE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08210-2138",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-463-2273",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/16/2009",
    "LastUpdateDate": "10/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": "MD485339",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": "266593",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": "25MA11209100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "266593",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RG0100X",
          "TaxonomyName": "Gastroenterology Physician",
          "LicenseNumber": "78293",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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