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1295030567 NPI number — SHRUTI V JHAVERI PA-C

NPI Number: 1295030567
Health Care Provider/Practitioner: SHRUTI V JHAVERI PA-C

Information about “1295030567” NPI (SHRUTI V JHAVERI PA-C) exists in 1295030567 in HTML format HTML  |  1295030567 in plain Text format TXT  |  1295030567 in PDF (Portable Document Format) PDF  |  1295030567 in an XML format XML  formats.

NPI Number : 1295030567 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295030567",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JHAVERI",
    "FirstName": "SHRUTI",
    "MiddleName": "V",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PATEL",
    "OtherFirstName": "SHRUTI",
    "OtherMiddleName": "B",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "48 HEMAN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDISON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08837-3059",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-910-9504",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1200 EAGLE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCEAN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07712-7631",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-660-6200",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/18/2011",
    "LastUpdateDate": "04/03/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "25MP00138900",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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