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Physician Compare National (NPI:1497973226)

HEALTHCARE PROVIDER: JAMES EDWARD TOWNSEND D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1497973226
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9931267671
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20081023000687
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TOWNSEND
Individual professional last name
Provider First Name JAMES
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name RUTGERS NEW JERSEY MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty PSYCHIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 100 S JERSEY AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1
Group Practice or individual's line 2 address
City EAST SETAUKET
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 117332035
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 330246
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ST CHARLES HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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