NPI Code Detail JSON Logo

1306041009 NPI number — JONATHAN L. HUGO M.D.

NPI Number: 1306041009
Health Care Provider/Practitioner: JONATHAN L. HUGO M.D.

Information about “1306041009” NPI (JONATHAN L. HUGO M.D.) exists in 1306041009 in HTML format HTML  |  1306041009 in plain Text format TXT  |  1306041009 in PDF (Portable Document Format) PDF  |  1306041009 in an XML format XML  formats.

NPI Number : 1306041009 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306041009",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUGO",
    "FirstName": "JONATHAN",
    "MiddleName": "L.",
    "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": "425 EAST 61ST STREET",
    "SecondLineMailingAddress": "NYP/WEILL CORNELL, 12TH FLOOR",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10065",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-962-2399",
    "MailingAddressFaxNumber": "646-962-0139",
    "FirstLinePracticeLocationAddress": "140 SYLVAN AVE STE 213",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ENGLEWOOD CLIFFS",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07632-2559",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "551-444-2407",
    "PracticeLocationAddressFaxNumber": "646-962-0139",
    "EnumerationDate": "06/20/2007",
    "LastUpdateDate": "12/04/2023",
    "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": "207RE0101X",
          "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
          "LicenseNumber": "257748",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RE0101X",
          "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
          "LicenseNumber": "25MA09166100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "2007014950",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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