{
"Npi": {
"NPI": "1366891475",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NRRON LLC",
"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 4470",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01101-4470",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-533-4000",
"MailingAddressFaxNumber": "860-272-3036",
"FirstLinePracticeLocationAddress": "100 HAYNES ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MANCHESTER",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06040-4113",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-533-4000",
"PracticeLocationAddressFaxNumber": "860-272-3036",
"EnumerationDate": "06/09/2016",
"LastUpdateDate": "09/29/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DELGALLO",
"AuthorizedOfficialFirstName": "DAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHAIRMAN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "860-646-1222",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QR0200X",
"TaxonomyName": "Radiology Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QX0203X",
"TaxonomyName": "Radiation Oncology Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}