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1689531899 NPI number — WANDERCRAFT, INCORPORATED

NPI Number: 1689531899
Health Care Provider/Practitioner: WANDERCRAFT, INCORPORATED

Information about “1689531899” NPI (WANDERCRAFT, INCORPORATED) exists in 1689531899 in HTML format HTML  |  1689531899 in plain Text format TXT  |  1689531899 in PDF (Portable Document Format) PDF  |  1689531899 in an XML format XML  formats.

NPI Number : 1689531899 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689531899",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WANDERCRAFT, INCORPORATED",
    "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": "345 PARK AVE S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10010-1707",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-448-4787",
    "MailingAddressFaxNumber": "877-827-9828",
    "FirstLinePracticeLocationAddress": "345 PARK AVE S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10010-1707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-448-4787",
    "PracticeLocationAddressFaxNumber": "877-827-9828",
    "EnumerationDate": "01/08/2026",
    "LastUpdateDate": "01/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BREIGHNER",
    "AuthorizedOfficialFirstName": "JOSHUA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "REIMBURSEMENT AND ACCESS MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT, DPT",
    "AuthorizedOfficialTelephoneNumber": "646-934-2189",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225000000X",
        "TaxonomyName": "Orthotic Fitter",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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