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1336512425 NPI number — BAYLA BERKOWITZ CNM PC

NPI Number: 1336512425
Health Care Provider/Practitioner: BAYLA BERKOWITZ CNM PC

Information about “1336512425” NPI (BAYLA BERKOWITZ CNM PC) exists in 1336512425 in HTML format HTML  |  1336512425 in plain Text format TXT  |  1336512425 in PDF (Portable Document Format) PDF  |  1336512425 in an XML format XML  formats.

NPI Number : 1336512425 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336512425",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BAYLA BERKOWITZ CNM PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3400 HATTON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21208-5609",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1700 REISTERSTOWN RD STE 231",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PIKESVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21208-2926",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-960-7041",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/11/2015",
    "LastUpdateDate": "06/23/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BERKOWITZ",
    "AuthorizedOfficialFirstName": "BAYLA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CNM",
    "AuthorizedOfficialTelephoneNumber": "443-424-7846",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "367A00000X",
        "TaxonomyName": "Advanced Practice Midwife",
        "LicenseNumber": "R161702",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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