{
"Npi": {
"NPI": "1447487228",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TOMASZ ROSTKOWSKI, DPM P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "86 PICKWICK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MANHASSET",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11030-3322",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "86 PICKWICK RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MANHASSET",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11030-3322",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-967-1164",
"PracticeLocationAddressFaxNumber": "516-706-0615",
"EnumerationDate": "06/18/2009",
"LastUpdateDate": "06/18/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSTKOWSKI",
"AuthorizedOfficialFirstName": "TOMASZ",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DPM",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "516-967-1164",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "N005979-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}