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1821471657 NPI number — MALAY PANSHERIA O.D.

NPI Number: 1821471657
Health Care Provider/Practitioner: MALAY PANSHERIA O.D.

Information about “1821471657” NPI (MALAY PANSHERIA O.D.) exists in 1821471657 in HTML format HTML  |  1821471657 in plain Text format TXT  |  1821471657 in PDF (Portable Document Format) PDF  |  1821471657 in an XML format XML  formats.

NPI Number : 1821471657 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821471657",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PANSHERIA",
    "FirstName": "MALAY",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4-14 SADDLE RIVER RD STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIR LAWN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07410-5624",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-797-2747",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4-14 SADDLE RIVER RD STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIR LAWN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07410-5624",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-797-2747",
    "PracticeLocationAddressFaxNumber": "201-254-9767",
    "EnumerationDate": "06/29/2015",
    "LastUpdateDate": "12/23/2024",
    "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": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OPT-OPT-LIC-4556",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "27OA00659800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "0618003065",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "3738-35",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OPT.0003740",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "3849",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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