NPI Code Detail JSON Logo

1467550426 NPI number — RICHARD STEVEN MARCUS PA-C

NPI Number: 1467550426
Health Care Provider/Practitioner: RICHARD STEVEN MARCUS PA-C

Information about “1467550426” NPI (RICHARD STEVEN MARCUS PA-C) exists in 1467550426 in HTML format HTML  |  1467550426 in plain Text format TXT  |  1467550426 in PDF (Portable Document Format) PDF  |  1467550426 in an XML format XML  formats.

NPI Number : 1467550426 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467550426",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARCUS",
    "FirstName": "RICHARD",
    "MiddleName": "STEVEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10 BURWELL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW HARTFORD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06057-4110",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-738-3965",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "114 WOODLAND ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARTFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06105-1208",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-714-4097",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/20/2006",
    "LastUpdateDate": "02/27/2015",
    "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": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "000072",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "000072",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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