{
"Npi": {
"NPI": "1174845093",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SCHWARTZ MEDICAL GROUP, LLC",
"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": "99 ACCESS RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORWOOD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02062-5211",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-551-8002",
"MailingAddressFaxNumber": "781-551-8004",
"FirstLinePracticeLocationAddress": "99 ACCESS RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORWOOD",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02062-5211",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-551-8002",
"PracticeLocationAddressFaxNumber": "781-551-8004",
"EnumerationDate": "02/19/2010",
"LastUpdateDate": "02/19/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHWARTZ",
"AuthorizedOfficialFirstName": "MELVIN",
"AuthorizedOfficialMiddleName": "JAY",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "781-551-8002",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "29444",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}