NPI Code Detail JSON Logo

1316627748 NPI number — JULIA MARIE VALKOS PA-C

NPI Number: 1316627748
Health Care Provider/Practitioner: JULIA MARIE VALKOS PA-C

Information about “1316627748” NPI (JULIA MARIE VALKOS PA-C) exists in 1316627748 in HTML format HTML  |  1316627748 in plain Text format TXT  |  1316627748 in PDF (Portable Document Format) PDF  |  1316627748 in an XML format XML  formats.

NPI Number : 1316627748 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316627748",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALKOS",
    "FirstName": "JULIA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "331 NEWMAN SPRINGS RD STE 220",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RED BANK",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07701-5792",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-807-0877",
    "MailingAddressFaxNumber": "201-751-1680",
    "FirstLinePracticeLocationAddress": "525 JACK MARTIN BLVD STE 340",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRICK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08724-7737",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-836-1500",
    "PracticeLocationAddressFaxNumber": "732-746-3170",
    "EnumerationDate": "07/20/2023",
    "LastUpdateDate": "01/06/2026",
    "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": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "25MP00889700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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