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1871724617 NPI number — DAVID PETER SUAREZ D.O.

NPI Number: 1871724617
Health Care Provider/Practitioner: DAVID PETER SUAREZ D.O.

Information about “1871724617” NPI (DAVID PETER SUAREZ D.O.) exists in 1871724617 in HTML format HTML  |  1871724617 in plain Text format TXT  |  1871724617 in PDF (Portable Document Format) PDF  |  1871724617 in an XML format XML  formats.

NPI Number : 1871724617 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871724617",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUAREZ",
    "FirstName": "DAVID",
    "MiddleName": "PETER",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "22 BYRNE PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BERGENFIELD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07621-1002",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "855-679-7873",
    "MailingAddressFaxNumber": "855-679-7873",
    "FirstLinePracticeLocationAddress": "1299 MCCARTER HWY STE 1A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07104-3757",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-537-7599",
    "PracticeLocationAddressFaxNumber": "201-537-7599",
    "EnumerationDate": "07/28/2009",
    "LastUpdateDate": "12/21/2021",
    "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": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "AP0771229-851",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "25MB09855100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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