NPI Code Detail JSON Logo

1801078779 NPI number — PRIMARY AND PREVENTATIVE INTERNAL MEDICINE OF CENTRAL NEW JERSEY, LLC

NPI Number: 1801078779
Health Care Provider/Practitioner: PRIMARY AND PREVENTATIVE INTERNAL MEDICINE OF CENTRAL NEW JERSEY, LLC

Information about “1801078779” NPI (PRIMARY AND PREVENTATIVE INTERNAL MEDICINE OF CENTRAL NEW JERSEY, LLC) exists in 1801078779 in HTML format HTML  |  1801078779 in plain Text format TXT  |  1801078779 in PDF (Portable Document Format) PDF  |  1801078779 in an XML format XML  formats.

NPI Number : 1801078779 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801078779",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PRIMARY AND PREVENTATIVE INTERNAL MEDICINE OF CENTRAL NEW JERSEY, 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": "2045 US HIGHWAY 35 SOUTH",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH AMBOY",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08879-2069",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-721-0071",
    "MailingAddressFaxNumber": "732-721-7712",
    "FirstLinePracticeLocationAddress": "2045 US HIGHWAY 35 SOUTH",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH AMBOY",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08879",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-721-0071",
    "PracticeLocationAddressFaxNumber": "732-721-7712",
    "EnumerationDate": "12/03/2007",
    "LastUpdateDate": "01/15/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRICE",
    "AuthorizedOfficialFirstName": "CRAIG",
    "AuthorizedOfficialMiddleName": "C.",
    "AuthorizedOfficialTitle": "OWNER/AUTHORIZED REPRESENTATIVE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "732-721-0071",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NJ",
        "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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