{
"Npi": {
"NPI": "1407039290",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GLENN S QUITTELL",
"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": "2001 PALMER AVE",
"SecondLineMailingAddress": "102",
"MailingAddressCityName": "LARCHMONT",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10538-2468",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-834-1313",
"MailingAddressFaxNumber": "914-834-1318",
"FirstLinePracticeLocationAddress": "2001 PALMER AVE",
"SecondLinePracticeLocationAddress": "102",
"PracticeLocationAddressCityName": "LARCHMONT",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10538-2468",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-834-1313",
"PracticeLocationAddressFaxNumber": "914-834-1318",
"EnumerationDate": "12/14/2007",
"LastUpdateDate": "07/01/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALSH",
"AuthorizedOfficialFirstName": "BRIDGET",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "RECEPTIONIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "914-834-1313",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}