{
"Npi": {
"NPI": "1487701876",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEXINGTON HEARING AND SPEECH CENTER, INC.",
"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": "74-20 25TH AVE.",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JACKSON HEIGHTS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11370-1428",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-350-3171",
"MailingAddressFaxNumber": "718-458-1367",
"FirstLinePracticeLocationAddress": "74-20 25TH AVE.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JACKSON HEIGHTS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11370-1428",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-350-3171",
"PracticeLocationAddressFaxNumber": "718-458-1367",
"EnumerationDate": "01/05/2007",
"LastUpdateDate": "05/27/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AGIN",
"AuthorizedOfficialFirstName": "ADELE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "718-350-3110",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0700X",
"TaxonomyName": "Hearing and Speech Clinic/Center",
"LicenseNumber": "7003226R",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}