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1356318760 NPI number — ADVANCED MAGNETIC IMAGING

NPI Number: 1356318760
Health Care Provider/Practitioner: ADVANCED MAGNETIC IMAGING

Information about “1356318760” NPI (ADVANCED MAGNETIC IMAGING) exists in 1356318760 in HTML format HTML  |  1356318760 in plain Text format TXT  |  1356318760 in PDF (Portable Document Format) PDF  |  1356318760 in an XML format XML  formats.

NPI Number : 1356318760 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356318760",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANCED MAGNETIC IMAGING",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6416 BERGENLINE AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST NEW YORK",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07093",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-295-1099",
    "MailingAddressFaxNumber": "201-295-1035",
    "FirstLinePracticeLocationAddress": "6416 BERGENLINE AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST NEW YORK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07093",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-295-1099",
    "PracticeLocationAddressFaxNumber": "201-295-1035",
    "EnumerationDate": "03/03/2006",
    "LastUpdateDate": "11/02/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FESTANTE",
    "AuthorizedOfficialFirstName": "VINCENT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CREDENTIALING",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "570-619-6294",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0200X",
          "TaxonomyName": "Radiology Clinic/Center",
          "LicenseNumber": "22788",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "22788",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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