Basic Information
Provider Information
NPI: 1851355564
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SLOVER
FirstName: JAMES
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 E 17TH ST
Address2: NYU HOSPITAL FOR JOINT DISEASES
City: NEW YORK
State: NY
PostalCode: 100033804
CountryCode: US
TelephoneNumber: 2125986208
FaxNumber: 2125986736
Practice Location
Address1: 333 E 38TH ST FL 4
Address2:  
City: NEW YORK
State: NY
PostalCode: 100162772
CountryCode: US
TelephoneNumber: 6465017300
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/12/2006
LastUpdateDate: 04/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X227191MAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
174400000X243498NYY Other Service ProvidersSpecialist 

No ID Information.


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