{
"Npi": {
"NPI": "1215108287",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GEORGE B. HUGHES MD FAMILY MEDICINE PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 299",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURNT HILLS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12027-0299",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-370-0094",
"MailingAddressFaxNumber": "518-377-9258",
"FirstLinePracticeLocationAddress": "333 KINGSLEY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BURNT HILLS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12027-9509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-370-0094",
"PracticeLocationAddressFaxNumber": "518-377-9258",
"EnumerationDate": "03/18/2008",
"LastUpdateDate": "07/19/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUGHES",
"AuthorizedOfficialFirstName": "GEORGE",
"AuthorizedOfficialMiddleName": "BERNARD",
"AuthorizedOfficialTitle": "SOLE PROPRIETOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "518-370-0094",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "186174",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "186174NN",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}