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1720196140 NPI number — LEONARD JOSEPH MARCHETTA R-P.A.

NPI Number: 1720196140
Health Care Provider/Practitioner: LEONARD JOSEPH MARCHETTA R-P.A.

Information about “1720196140” NPI (LEONARD JOSEPH MARCHETTA R-P.A.) exists in 1720196140 in HTML format HTML  |  1720196140 in plain Text format TXT  |  1720196140 in PDF (Portable Document Format) PDF  |  1720196140 in an XML format XML  formats.

NPI Number : 1720196140 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720196140",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARCHETTA",
    "FirstName": "LEONARD",
    "MiddleName": "JOSEPH",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "R-P.A.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARCHETTA",
    "OtherFirstName": "LEONARD",
    "OtherMiddleName": "JOSEPH",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "R-P.A.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2 JOHANNA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STATEN ISLAND",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10309-3632",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-837-2137",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5405 HYLAN BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STATEN ISLAND",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10312-5241",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-948-5475",
    "PracticeLocationAddressFaxNumber": "718-948-5479",
    "EnumerationDate": "08/26/2006",
    "LastUpdateDate": "01/22/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "003712",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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