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1982511150 NPI number — PETER MICHAEL MASINELLI JR. PAC

NPI Number: 1982511150
Health Care Provider/Practitioner: PETER MICHAEL MASINELLI JR. PAC

Information about “1982511150” NPI (PETER MICHAEL MASINELLI JR. PAC) exists in 1982511150 in HTML format HTML  |  1982511150 in plain Text format TXT  |  1982511150 in PDF (Portable Document Format) PDF  |  1982511150 in an XML format XML  formats.

NPI Number : 1982511150 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982511150",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MASINELLI",
    "FirstName": "PETER",
    "MiddleName": "MICHAEL",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "PAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1471 CEDAR COVE RD APT 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68505-7827",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-802-3202",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2222 S 16TH ST STE 405B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68502-3796",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-481-5860",
    "PracticeLocationAddressFaxNumber": "402-481-5869",
    "EnumerationDate": "08/25/2026",
    "LastUpdateDate": "08/25/2026",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "3502",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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