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1609839331 NPI number — DR. KETAN KANSAGRA

NPI Number: 1609839331
Health Care Provider/Practitioner: DR. KETAN KANSAGRA

Information about “1609839331” NPI (DR. KETAN KANSAGRA) exists in 1609839331 in HTML format HTML  |  1609839331 in plain Text format TXT  |  1609839331 in PDF (Portable Document Format) PDF  |  1609839331 in an XML format XML  formats.

NPI Number : 1609839331 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609839331",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KANSAGRA",
    "FirstName": "KETAN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "16 BROOKSIDE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRINCETON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08540-8570",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-951-9692",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "254 EASTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BRUNSWICK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08901-1766",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-745-8600",
    "PracticeLocationAddressFaxNumber": "732-249-9572",
    "EnumerationDate": "04/12/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "2080N0001X",
        "TaxonomyName": "Neonatal-Perinatal Medicine Physician",
        "LicenseNumber": "MA76166",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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