NPI Code Detail JSON Logo

1508546227 NPI number — MOUSUMI SEAL MITRA FNP

NPI Number: 1508546227
Health Care Provider/Practitioner: MOUSUMI SEAL MITRA FNP

Information about “1508546227” NPI (MOUSUMI SEAL MITRA FNP) exists in 1508546227 in HTML format HTML  |  1508546227 in plain Text format TXT  |  1508546227 in PDF (Portable Document Format) PDF  |  1508546227 in an XML format XML  formats.

NPI Number : 1508546227 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508546227",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MITRA",
    "FirstName": "MOUSUMI",
    "MiddleName": "SEAL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 DAVIDSON AVE STE 210",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOMERSET",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08873-1312",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-429-7799",
    "MailingAddressFaxNumber": "866-611-9616",
    "FirstLinePracticeLocationAddress": "100 DAVIDSON AVE STE 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOMERSET",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08873-1312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-429-7799",
    "PracticeLocationAddressFaxNumber": "866-611-9616",
    "EnumerationDate": "07/18/2023",
    "LastUpdateDate": "10/30/2025",
    "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": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "26NJ14875700",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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