1396984829 NPI number — MAGALYS M. VALERA L.AC., C.A.

NPI Number: 1396984829
Health Care Provider/Practitioner: MAGALYS M. VALERA L.AC., C.A.

NPI Number : 1396984829 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396984829",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALERA",
    "FirstName": "MAGALYS",
    "MiddleName": "M.",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.AC., C.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VALERA",
    "OtherFirstName": "MAGALYS",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "L.AC., C.A.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1631 E 2ND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCOTCH PLAINS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07076-1605",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-322-2803",
    "MailingAddressFaxNumber": "908-322-2804",
    "FirstLinePracticeLocationAddress": "1631 E 2ND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTCH PLAINS",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07076-1605",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-322-2803",
    "PracticeLocationAddressFaxNumber": "908-322-2804",
    "EnumerationDate": "02/05/2009",
    "LastUpdateDate": "02/06/2009",
    "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": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "25MZ00051200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "003353",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}