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1417376633 NPI number — REBECCA J MACADAMS

NPI Number: 1417376633
Health Care Provider/Practitioner: REBECCA J MACADAMS

Information about “1417376633” NPI (REBECCA J MACADAMS) exists in 1417376633 in HTML format HTML  |  1417376633 in plain Text format TXT  |  1417376633 in PDF (Portable Document Format) PDF  |  1417376633 in an XML format XML  formats.

NPI Number : 1417376633 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417376633",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MACADAMS",
    "FirstName": "REBECCA",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEVIN",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "150 CLOVE RD STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE FALLS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07424-2139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-820-0770",
    "MailingAddressFaxNumber": "855-433-4194",
    "FirstLinePracticeLocationAddress": "1544 KUSER RD STE C9",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMILTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08619-3830",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-484-0106",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/15/2014",
    "LastUpdateDate": "12/21/2022",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "26NJ00491400",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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