{
"Npi": {
"NPI": "1144344300",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW BRITAIN PODIATRY ASSOCIATES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "111 HARTMAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POTTSTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19465-7573",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-313-5789",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "902 TOWN CTR",
"SecondLinePracticeLocationAddress": "RTE 202 & LENAPE DRIVE",
"PracticeLocationAddressCityName": "NEW BRITAIN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18901-5182",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-348-1970",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/16/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURIAN",
"AuthorizedOfficialFirstName": "GIDEON",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "215-348-1970",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "SC004423L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}