NPI Code Detail JSON Logo

1376873935 NPI number — B KUBICK OPTICIANS INC

NPI Number: 1376873935
Health Care Provider/Practitioner: B KUBICK OPTICIANS INC

Information about “1376873935” NPI (B KUBICK OPTICIANS INC) exists in 1376873935 in HTML format HTML  |  1376873935 in plain Text format TXT  |  1376873935 in PDF (Portable Document Format) PDF  |  1376873935 in an XML format XML  formats.

NPI Number : 1376873935 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376873935",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "B KUBICK OPTICIANS INC",
    "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": "110 CENTRAL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTFIELD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07090-2150",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-233-5512",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "110 CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07090-2150",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-233-5512",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/05/2010",
    "LastUpdateDate": "01/05/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARTELL",
    "AuthorizedOfficialFirstName": "PETER",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO, HAD",
    "AuthorizedOfficialTelephoneNumber": "908-233-5512",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "237700000X",
          "TaxonomyName": "Hearing Instrument Specialist",
          "LicenseNumber": "00987",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "156FX1800X",
          "TaxonomyName": "Optician",
          "LicenseNumber": "003321",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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