NPI Code Detail JSON Logo

1376007898 NPI number — PEDI-CARE CORP

NPI Number: 1376007898
Health Care Provider/Practitioner: PEDI-CARE CORP

Information about “1376007898” NPI (PEDI-CARE CORP) exists in 1376007898 in HTML format HTML  |  1376007898 in plain Text format TXT  |  1376007898 in PDF (Portable Document Format) PDF  |  1376007898 in an XML format XML  formats.

NPI Number : 1376007898 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376007898",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PEDI-CARE CORP",
    "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": "1352 RIVER AVE STE 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08701-5646",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-415-2318",
    "MailingAddressFaxNumber": "732-584-2786",
    "FirstLinePracticeLocationAddress": "1086 TEANECK RD STE 3F1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TEANECK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07666-4855",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-666-6647",
    "PracticeLocationAddressFaxNumber": "201-676-8828",
    "EnumerationDate": "01/29/2019",
    "LastUpdateDate": "04/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROSENBERG",
    "AuthorizedOfficialFirstName": "RAIZEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-415-2318",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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