NPI Code Detail JSON Logo

1528610862 NPI number — MARINA MEGALLA OD

NPI Number: 1528610862
Health Care Provider/Practitioner: MARINA MEGALLA OD

Information about “1528610862” NPI (MARINA MEGALLA OD) exists in 1528610862 in HTML format HTML  |  1528610862 in plain Text format TXT  |  1528610862 in PDF (Portable Document Format) PDF  |  1528610862 in an XML format XML  formats.

NPI Number : 1528610862 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528610862",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEGALLA",
    "FirstName": "MARINA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "818 7TH ST # A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SECAUCUS",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07094-3330",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-713-7216",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "348 RIDGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LYNDHURST",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07071-2229",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-438-8668",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2019",
    "LastUpdateDate": "07/16/2019",
    "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": "27OA00690300",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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