{
"Npi": {
"NPI": "1376761197",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GRILLO",
"FirstName": "MARIA",
"MiddleName": "C.",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "C.O.T.A.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RIZZOTTO",
"OtherFirstName": "MARIA",
"OtherMiddleName": "C.",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "C.O.T.A.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "29 HEREFORD LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EAST BRIDGEWATER",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02333-1682",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-378-9829",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "250 POND ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRAINTREE",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02184-5351",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "781-848-5353",
"PracticeLocationAddressFaxNumber": "781-348-2408",
"EnumerationDate": "04/24/2007",
"LastUpdateDate": "07/08/2007",
"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": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "476",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}