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1912247966 NPI number — SDNJ RADIOLOGY GROUP, LLC

NPI Number: 1912247966
Health Care Provider/Practitioner: SDNJ RADIOLOGY GROUP, LLC

Information about “1912247966” NPI (SDNJ RADIOLOGY GROUP, LLC) exists in 1912247966 in HTML format HTML  |  1912247966 in plain Text format TXT  |  1912247966 in PDF (Portable Document Format) PDF  |  1912247966 in an XML format XML  formats.

NPI Number : 1912247966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912247966",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "JAMES COUREY DDS, LLC",
    "ParentOrgTIN": null,
    "OrgName": "SDNJ RADIOLOGY GROUP, 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": "224 TAYLORS MILLS RD",
    "SecondLineMailingAddress": "SUITE 110",
    "MailingAddressCityName": "MANALAPAN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07726-3281",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-577-0555",
    "MailingAddressFaxNumber": "732-577-8555",
    "FirstLinePracticeLocationAddress": "224 TAYLORS MILLS RD",
    "SecondLinePracticeLocationAddress": "SUITE 110",
    "PracticeLocationAddressCityName": "MANALAPAN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07726-3281",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-577-0555",
    "PracticeLocationAddressFaxNumber": "732-577-8555",
    "EnumerationDate": "02/27/2013",
    "LastUpdateDate": "02/27/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COUREY",
    "AuthorizedOfficialFirstName": "JAMES",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "732-577-0555",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223X0008X",
        "TaxonomyName": "Oral and Maxillofacial Radiology Dentistry",
        "LicenseNumber": "18597",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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