NPI Code Detail JSON Logo

1730060104 NPI number — CILIN PHILIP SURGICAL ASSIST LLC

NPI Number: 1730060104
Health Care Provider/Practitioner: CILIN PHILIP SURGICAL ASSIST LLC

Information about “1730060104” NPI (CILIN PHILIP SURGICAL ASSIST LLC) exists in 1730060104 in HTML format HTML  |  1730060104 in plain Text format TXT  |  1730060104 in PDF (Portable Document Format) PDF  |  1730060104 in an XML format XML  formats.

NPI Number : 1730060104 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730060104",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CILIN PHILIP SURGICAL ASSIST LLC",
    "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": "2218 RIVERVIEW AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ENGLEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07631-8719",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "50 WASON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01107-1274",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "413-286-1020",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/10/2025",
    "LastUpdateDate": "09/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PHILIP",
    "AuthorizedOfficialFirstName": "CILIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PA",
    "AuthorizedOfficialTelephoneNumber": "914-513-9291",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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