{
"Npi": {
"NPI": "1497719694",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MARZANO",
"FirstName": "JOHN",
"MiddleName": "C",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DPM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MARZANO",
"OtherFirstName": "JOHN",
"OtherMiddleName": "C",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DPM",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "984 N BROADWAY",
"SecondLineMailingAddress": "SUITE LL03",
"MailingAddressCityName": "YONKERS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10701-1318",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-423-0600",
"MailingAddressFaxNumber": "866-549-2795",
"FirstLinePracticeLocationAddress": "984 N BROADWAY",
"SecondLinePracticeLocationAddress": "SUITE 302",
"PracticeLocationAddressCityName": "YONKERS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10701-1318",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-423-0600",
"PracticeLocationAddressFaxNumber": "866-549-2795",
"EnumerationDate": "04/14/2006",
"LastUpdateDate": "05/23/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "N003773",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": "N003773",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}