{
"Npi": {
"NPI": "1124295159",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HUGHES",
"FirstName": "SANDRA",
"MiddleName": "JEAN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PETTY",
"OtherFirstName": "SANDRA",
"OtherMiddleName": "JEAN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "90 N GRANT AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONGERS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10920-1935",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "910-393-9190",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "115 MAIN ST STE 301",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TUCKAHOE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10707-2949",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-771-7070",
"PracticeLocationAddressFaxNumber": "914-771-7073",
"EnumerationDate": "05/08/2008",
"LastUpdateDate": "04/28/2021",
"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": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "249465",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}