NPI Code Detail JSON Logo

1396021408 NPI number — MRS. ALTHEA Z MAIMAN

NPI Number: 1396021408
Health Care Provider/Practitioner: MRS. ALTHEA Z MAIMAN

Information about “1396021408” NPI (MRS. ALTHEA Z MAIMAN) exists in 1396021408 in HTML format HTML  |  1396021408 in plain Text format TXT  |  1396021408 in PDF (Portable Document Format) PDF  |  1396021408 in an XML format XML  formats.

NPI Number : 1396021408 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396021408",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAIMAN",
    "FirstName": "ALTHEA",
    "MiddleName": "Z",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MAIMAN",
    "OtherFirstName": "ALTHEA",
    "OtherMiddleName": "LYNNE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "OTR",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "35 WILMINGTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MELVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11747-4032",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-491-1130",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2351 JERUSALEM AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH BELLMORE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11710-1822",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-608-6339",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/02/2011",
    "LastUpdateDate": "11/02/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "002149-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.