NPI Code Detail JSON Logo

1679728315 NPI number — JENNIFER L ZAPATKA PA-C

NPI Number: 1679728315
Health Care Provider/Practitioner: JENNIFER L ZAPATKA PA-C

Information about “1679728315” NPI (JENNIFER L ZAPATKA PA-C) exists in 1679728315 in HTML format HTML  |  1679728315 in plain Text format TXT  |  1679728315 in PDF (Portable Document Format) PDF  |  1679728315 in an XML format XML  formats.

NPI Number : 1679728315 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679728315",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZAPATKA",
    "FirstName": "JENNIFER",
    "MiddleName": "L",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOWALCZUK",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5520 PARK AVE",
    "SecondLineMailingAddress": "SUITE M2-300",
    "MailingAddressCityName": "TRUMBULL",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06611-3463",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-374-0310",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5520 PARK AVE",
    "SecondLinePracticeLocationAddress": "SUITE M2-300",
    "PracticeLocationAddressCityName": "TRUMBULL",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06611-3463",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-374-0310",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2008",
    "LastUpdateDate": "08/19/2020",
    "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": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": "3903",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": "002176",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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