NPI Code Detail JSON Logo

1649665720 NPI number — JOHNETTA MASSAH KEMOH

NPI Number: 1649665720
Health Care Provider/Practitioner: JOHNETTA MASSAH KEMOH

Information about “1649665720” NPI (JOHNETTA MASSAH KEMOH) exists in 1649665720 in HTML format HTML  |  1649665720 in plain Text format TXT  |  1649665720 in PDF (Portable Document Format) PDF  |  1649665720 in an XML format XML  formats.

NPI Number : 1649665720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649665720",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEMOH",
    "FirstName": "JOHNETTA",
    "MiddleName": "MASSAH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "81 HAMILTON AVE",
    "SecondLineMailingAddress": "APT #2 FLOOR",
    "MailingAddressCityName": "YONKERS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10705-8105",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-882-5266",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1133 WESTCHESTER AVE",
    "SecondLinePracticeLocationAddress": "SUITE N 230",
    "PracticeLocationAddressCityName": "WHITE PLAINS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10604-3516",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-576-5292",
    "PracticeLocationAddressFaxNumber": "914-576-3983",
    "EnumerationDate": "04/05/2015",
    "LastUpdateDate": "04/05/2015",
    "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": "174H00000X",
        "TaxonomyName": "Health Educator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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