{
"Npi": {
"NPI": "1285707174",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTHERN NEW ENGLAND SURGERY CENTER",
"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": "PO BOX 310597",
"SecondLineMailingAddress": "SOUTHERN NEW ENGLAND SURGERY CENTER",
"MailingAddressCityName": "NEWINGTON",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06131-0597",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-665-0174",
"MailingAddressFaxNumber": "860-667-2066",
"FirstLinePracticeLocationAddress": "738 WASHINGTON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ATTLEBORO",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02703-6948",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-833-5519",
"PracticeLocationAddressFaxNumber": "508-324-1181",
"EnumerationDate": "11/16/2006",
"LastUpdateDate": "08/17/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MINEAU",
"AuthorizedOfficialFirstName": "KRISTIAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "860-665-0174",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}