NPI Code Detail JSON Logo

1285604918 NPI number — W REED KINDERMANN M.D.

NPI Number: 1285604918
Health Care Provider/Practitioner: W REED KINDERMANN M.D.

Information about “1285604918” NPI (W REED KINDERMANN M.D.) exists in 1285604918 in HTML format HTML  |  1285604918 in plain Text format TXT  |  1285604918 in PDF (Portable Document Format) PDF  |  1285604918 in an XML format XML  formats.

NPI Number : 1285604918 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285604918",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KINDERMANN",
    "FirstName": "W",
    "MiddleName": "REED",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3001 CHAPEL AVE W",
    "SecondLineMailingAddress": "STE 200",
    "MailingAddressCityName": "CHERRY HILL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08002-1592",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-667-3937",
    "MailingAddressFaxNumber": "856-667-0661",
    "FirstLinePracticeLocationAddress": "3001 CHAPEL AVE W",
    "SecondLinePracticeLocationAddress": "STE 200",
    "PracticeLocationAddressCityName": "CHERRY HILL",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08002-1592",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-667-3937",
    "PracticeLocationAddressFaxNumber": "856-667-0661",
    "EnumerationDate": "01/25/2006",
    "LastUpdateDate": "04/14/2008",
    "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": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "25MA03484500",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "MD018714E",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "G41784",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "25MA03484500",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "MD018714E",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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