NPI Code Detail JSON Logo

1629337928 NPI number — JONATHAN MATTHEW GIFTOS M.D.

NPI Number: 1629337928
Health Care Provider/Practitioner: JONATHAN MATTHEW GIFTOS M.D.

Information about “1629337928” NPI (JONATHAN MATTHEW GIFTOS M.D.) exists in 1629337928 in HTML format HTML  |  1629337928 in plain Text format TXT  |  1629337928 in PDF (Portable Document Format) PDF  |  1629337928 in an XML format XML  formats.

NPI Number : 1629337928 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629337928",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GIFTOS",
    "FirstName": "JONATHAN",
    "MiddleName": "MATTHEW",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "415 9TH ST APT 33",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11215-4151",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-682-4543",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8 E 3RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10003-8908",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-533-8400",
    "PracticeLocationAddressFaxNumber": "212-529-4781",
    "EnumerationDate": "05/08/2012",
    "LastUpdateDate": "08/13/2020",
    "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": "207RA0401X",
        "TaxonomyName": "Addiction Medicine (Internal Medicine) Physician",
        "LicenseNumber": "276899",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.