{
"Npi": {
"NPI": "1174896658",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCHWARZ",
"FirstName": "GITTEL",
"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": "1345 RXR PLZ FL 13",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNIONDALE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11556-1301",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-453-0435",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "256 E ROUTE 59 BLDG A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NANUET",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10954-2905",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-624-2273",
"PracticeLocationAddressFaxNumber": "845-627-2273",
"EnumerationDate": "02/15/2012",
"LastUpdateDate": "07/24/2019",
"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": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "015298",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363A00000X",
"TaxonomyName": "Physician Assistant",
"LicenseNumber": "25MP00276200",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}