NPI Code Detail JSON Logo

1912235318 NPI number — ELISA MARIE WASILEWSKI PA-C

NPI Number: 1912235318
Health Care Provider/Practitioner: ELISA MARIE WASILEWSKI PA-C

Information about “1912235318” NPI (ELISA MARIE WASILEWSKI PA-C) exists in 1912235318 in HTML format HTML  |  1912235318 in plain Text format TXT  |  1912235318 in PDF (Portable Document Format) PDF  |  1912235318 in an XML format XML  formats.

NPI Number : 1912235318 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912235318",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WASILEWSKI",
    "FirstName": "ELISA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CAPALDI",
    "OtherFirstName": "ELISA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 16149",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RUMFORD",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02916-0697",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-453-9625",
    "MailingAddressFaxNumber": "401-435-7069",
    "FirstLinePracticeLocationAddress": "195 COLLYER ST",
    "SecondLinePracticeLocationAddress": "SUITE 302",
    "PracticeLocationAddressCityName": "PROVIDENCE",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02904-1869",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-793-3236",
    "PracticeLocationAddressFaxNumber": "401-793-5171",
    "EnumerationDate": "11/23/2009",
    "LastUpdateDate": "01/29/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": "PA00534",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.