{
"Npi": {
"NPI": "1093078727",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "REID",
"FirstName": "REESHEMAH",
"MiddleName": "ALIYA",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "55 HARTS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROOSEVELT",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11575-2253",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-223-6504",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "300 GARDEN CITY PLZ",
"SecondLinePracticeLocationAddress": "SUITE 350",
"PracticeLocationAddressCityName": "GARDEN CITY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11530-3302",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-747-9030",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/18/2012",
"LastUpdateDate": "06/18/2012",
"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": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "579786111",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}