NPI Code Detail JSON Logo

1366949646 NPI number — TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

NPI Number: 1366949646
Health Care Provider/Practitioner: TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP

Information about “1366949646” NPI (TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP) exists in 1366949646 in HTML format HTML  |  1366949646 in plain Text format TXT  |  1366949646 in PDF (Portable Document Format) PDF  |  1366949646 in an XML format XML  formats.

NPI Number : 1366949646 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366949646",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP",
    "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": "1201 LANGHORNE NEWTOWN RD",
    "SecondLineMailingAddress": "MAIL ROOM",
    "MailingAddressCityName": "LANGHORNE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19047-1201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-710-5522",
    "MailingAddressFaxNumber": "215-710-5181",
    "FirstLinePracticeLocationAddress": "1205 LANGHORNE NEWTOWN RD STE 302",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANGHORNE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19047-1222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-710-5812",
    "PracticeLocationAddressFaxNumber": "215-710-6801",
    "EnumerationDate": "04/12/2018",
    "LastUpdateDate": "09/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KEESE",
    "AuthorizedOfficialFirstName": "JULIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "VP, FINANCE AND CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "301-754-7201",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "133V00000X",
        "TaxonomyName": "Registered Dietitian",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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