{
"Npi": {
"NPI": "1316170376",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOZEF M. DEBIEC, M.D., PLLC",
"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": "200 S BROADWAY",
"SecondLineMailingAddress": "SUITE 205",
"MailingAddressCityName": "TARRYTOWN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10591-4500",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-681-9089",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 S BROADWAY",
"SecondLinePracticeLocationAddress": "SUITE 205",
"PracticeLocationAddressCityName": "TARRYTOWN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10591-4500",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-681-9089",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/25/2009",
"LastUpdateDate": "03/01/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEBIEC",
"AuthorizedOfficialFirstName": "JOZEF",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "MEMBER/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "914-681-9089",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP3300X",
"TaxonomyName": "Pain Clinic/Center",
"LicenseNumber": "240161",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}