NPI Code Detail JSON Logo

1942004957 NPI number — NIKOLAY ANTONOV GOSPODINOV RMA

NPI Number: 1942004957
Health Care Provider/Practitioner: NIKOLAY ANTONOV GOSPODINOV RMA

Information about “1942004957” NPI (NIKOLAY ANTONOV GOSPODINOV RMA) exists in 1942004957 in HTML format HTML  |  1942004957 in plain Text format TXT  |  1942004957 in PDF (Portable Document Format) PDF  |  1942004957 in an XML format XML  formats.

NPI Number : 1942004957 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942004957",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GOSPODINOV",
    "FirstName": "NIKOLAY",
    "MiddleName": "ANTONOV",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RMA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GOSPODINOV",
    "OtherFirstName": "IRENA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RMA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "21021 N 56TH ST APT 3091",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85054-5609",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-377-1064",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5520 W CHANDLER BLVD STE 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHANDLER",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85226-3693",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-362-3974",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/01/2025",
    "LastUpdateDate": "04/11/2025",
    "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": "376K00000X",
        "TaxonomyName": "Nurse's Aide",
        "LicenseNumber": "3041275",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.