{
"Npi": {
"NPI": "1467613190",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NORTH CENTRAL BRONX HOSPITAL",
"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": "1112 COLONY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HARTSDALE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10530-1721",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-946-7145",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1112 COLONY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HARTSDALE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10530-1721",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-946-7145",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/25/2008",
"LastUpdateDate": "06/25/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CLARKE",
"AuthorizedOfficialFirstName": "CAROL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "NURSE PRACTIONER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "N.P",
"AuthorizedOfficialTelephoneNumber": "718-519-4939",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0005X",
"TaxonomyName": "Ambulatory Family Planning Facility",
"LicenseNumber": "F420339",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}