{
"Npi": {
"NPI": "1295903938",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MARC J. YLAND, M.D. P.C.",
"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": "2500 NESCONSET HWY",
"SecondLineMailingAddress": "BLDG 24C",
"MailingAddressCityName": "STONY BROOK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11790-2555",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-941-0187",
"MailingAddressFaxNumber": "631-689-3814",
"FirstLinePracticeLocationAddress": "2500 NESCONSET HWY",
"SecondLinePracticeLocationAddress": "BLDG 24C",
"PracticeLocationAddressCityName": "STONY BROOK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11790-2555",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-941-0187",
"PracticeLocationAddressFaxNumber": "631-689-3814",
"EnumerationDate": "02/15/2008",
"LastUpdateDate": "03/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YLAND",
"AuthorizedOfficialFirstName": "MARC",
"AuthorizedOfficialMiddleName": "JOSEPH",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "631-941-0187",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP3300X",
"TaxonomyName": "Pain Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}