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1669420519 NPI number — JOANNA ZABEK-GALLEGOS MD

NPI Number: 1669420519
Health Care Provider/Practitioner: JOANNA ZABEK-GALLEGOS MD

Information about “1669420519” NPI (JOANNA ZABEK-GALLEGOS MD) exists in 1669420519 in HTML format HTML  |  1669420519 in plain Text format TXT  |  1669420519 in PDF (Portable Document Format) PDF  |  1669420519 in an XML format XML  formats.

NPI Number : 1669420519 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669420519",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZABEK-GALLEGOS",
    "FirstName": "JOANNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "265 ACKERMAN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIDGEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07450-4203",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-444-3309",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "265 ACKERMAN AVE STE 204",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIDGEWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07450-4203",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-444-3309",
    "PracticeLocationAddressFaxNumber": "201-444-3349",
    "EnumerationDate": "05/04/2006",
    "LastUpdateDate": "06/14/2023",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "25MA06705000",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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