{
"Npi": {
"NPI": "1295048486",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "IRA E FELMAN MD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "433 N. 4TH STREET",
"SecondLineMailingAddress": "SUITE 216",
"MailingAddressCityName": "MONTEBELLO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90640-1236",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "323-725-1700",
"MailingAddressFaxNumber": "323-725-1725",
"FirstLinePracticeLocationAddress": "433 N. 4TH STREET",
"SecondLinePracticeLocationAddress": "SUITE 216",
"PracticeLocationAddressCityName": "MONTEBELLO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90640-1236",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "323-725-1700",
"PracticeLocationAddressFaxNumber": "323-725-1725",
"EnumerationDate": "07/16/2010",
"LastUpdateDate": "09/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FELMAN",
"AuthorizedOfficialFirstName": "IRA",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "323-725-1700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RH0003X",
"TaxonomyName": "Hematology & Oncology Physician",
"LicenseNumber": "G37852",
"LicenseNumberStateCode": "CA",
"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."
}
}
}
}