NPI Code Detail JSON Logo

1669617262 NPI number — NORTHEAST EYE BILLING

NPI Number: 1669617262
Health Care Provider/Practitioner: NORTHEAST EYE BILLING

Information about “1669617262” NPI (NORTHEAST EYE BILLING) exists in 1669617262 in HTML format HTML  |  1669617262 in plain Text format TXT  |  1669617262 in PDF (Portable Document Format) PDF  |  1669617262 in an XML format XML  formats.

NPI Number : 1669617262 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669617262",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NORTHEAST EYE BILLING",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "PO BOX 5346",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLIFTON PARK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12065-0865",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-690-7021",
    "MailingAddressFaxNumber": "518-690-7022",
    "FirstLinePracticeLocationAddress": "711 TROY SCHENECTADY ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 109",
    "PracticeLocationAddressCityName": "LATHAM",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12110-2454",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-690-7021",
    "PracticeLocationAddressFaxNumber": "518-690-7022",
    "EnumerationDate": "12/10/2008",
    "LastUpdateDate": "12/10/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LOPASIC",
    "AuthorizedOfficialFirstName": "NATALIE",
    "AuthorizedOfficialMiddleName": "W",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "518-690-7020",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "207362-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "209679-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "210538-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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