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1972962504 NPI number — TARA ANNE MCCABE N.P.

NPI Number: 1972962504
Health Care Provider/Practitioner: TARA ANNE MCCABE N.P.

Information about “1972962504” NPI (TARA ANNE MCCABE N.P.) exists in 1972962504 in HTML format HTML  |  1972962504 in plain Text format TXT  |  1972962504 in PDF (Portable Document Format) PDF  |  1972962504 in an XML format XML  formats.

NPI Number : 1972962504 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972962504",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCABE",
    "FirstName": "TARA",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PISANO",
    "OtherFirstName": "TARA",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "N.P.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "240 E 38TH ST",
    "SecondLineMailingAddress": "19TH FLOOR",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10016-2708",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-501-4877",
    "MailingAddressFaxNumber": "646-754-7608",
    "FirstLinePracticeLocationAddress": "240 EAST 38TH STREET",
    "SecondLinePracticeLocationAddress": "19TH FLOOR",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-501-4877",
    "PracticeLocationAddressFaxNumber": "646-754-7608",
    "EnumerationDate": "02/10/2016",
    "LastUpdateDate": "05/31/2024",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "26NJ00720600",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "340299",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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