NPI Code Detail JSON Logo

1407310683 NPI number — GIANCARLO ROZON

NPI Number: 1407310683
Health Care Provider/Practitioner: GIANCARLO ROZON

Information about “1407310683” NPI (GIANCARLO ROZON) exists in 1407310683 in HTML format HTML  |  1407310683 in plain Text format TXT  |  1407310683 in PDF (Portable Document Format) PDF  |  1407310683 in an XML format XML  formats.

NPI Number : 1407310683 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407310683",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROZON",
    "FirstName": "GIANCARLO",
    "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": "56 JAY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARAMUS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07652-2320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-245-4776",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "223 OLD HOOK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07675-3132",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-666-2056",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/22/2019",
    "LastUpdateDate": "01/22/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "40QA01841000",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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