NPI Code Detail JSON Logo

1750531620 NPI number — SOUTHTOWNS MEDICINE AND PEDIATRICS

NPI Number: 1750531620
Health Care Provider/Practitioner: SOUTHTOWNS MEDICINE AND PEDIATRICS

Information about “1750531620” NPI (SOUTHTOWNS MEDICINE AND PEDIATRICS) exists in 1750531620 in HTML format HTML  |  1750531620 in plain Text format TXT  |  1750531620 in PDF (Portable Document Format) PDF  |  1750531620 in an XML format XML  formats.

NPI Number : 1750531620 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750531620",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOUTHTOWNS MEDICINE AND PEDIATRICS",
    "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": "268 MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST AURORA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14052-1655",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-652-8606",
    "MailingAddressFaxNumber": "716-805-1225",
    "FirstLinePracticeLocationAddress": "268 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST AURORA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14052-1637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-652-8606",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/26/2008",
    "LastUpdateDate": "01/16/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONES",
    "AuthorizedOfficialFirstName": "JILL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "716-652-8606",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "219856",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "219856",
          "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."
        }
      ]
    }
  }
}
                
            

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