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1457247785 NPI number — MADONA AMGAD BESHAI OD

NPI Number: 1457247785
Health Care Provider/Practitioner: MADONA AMGAD BESHAI OD

Information about “1457247785” NPI (MADONA AMGAD BESHAI OD) exists in 1457247785 in HTML format HTML  |  1457247785 in plain Text format TXT  |  1457247785 in PDF (Portable Document Format) PDF  |  1457247785 in an XML format XML  formats.

NPI Number : 1457247785 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457247785",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BESHAI",
    "FirstName": "MADONA",
    "MiddleName": "AMGAD",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NASIM",
    "OtherFirstName": "MADONA",
    "OtherMiddleName": "AMGAD",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "420 MOUNTAIN AVE FL 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW PROVIDENCE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07974-2736",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-458-8333",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "111 DEAN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TENAFLY",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07670-2764",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-567-5995",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2025",
    "LastUpdateDate": "07/24/2025",
    "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": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "27OA00736300",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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