{
"Npi": {
"NPI": "1316163025",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KOMAROFF",
"FirstName": "ARIANA",
"MiddleName": "ROSE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ROSE",
"OtherFirstName": "ARIANA",
"OtherMiddleName": "JANE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "NP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1600 HARRISON AVE STE G105-2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAMARONECK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10543-3145",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-412-6335",
"MailingAddressFaxNumber": "914-357-2727",
"FirstLinePracticeLocationAddress": "1600 HARRISON AVE STE G105-2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAMARONECK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10543-3145",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-412-6335",
"PracticeLocationAddressFaxNumber": "914-357-2727",
"EnumerationDate": "04/18/2007",
"LastUpdateDate": "04/04/2025",
"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": "163WL0100X",
"TaxonomyName": "Lactation Consultant (Registered Nurse)",
"LicenseNumber": "512951",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "006193",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "334364",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}