{
"Npi": {
"NPI": "1508002783",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MARY JENSIS-CARLSON D P M",
"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": "637 WILLIS AVE",
"SecondLineMailingAddress": "STE D.",
"MailingAddressCityName": "WILLISTON PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11596-1154",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-248-8188",
"MailingAddressFaxNumber": "516-279-4610",
"FirstLinePracticeLocationAddress": "637 WILLIS AVE",
"SecondLinePracticeLocationAddress": "SUITE D",
"PracticeLocationAddressCityName": "WILLISTON PARK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11596-1154",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-248-8188",
"PracticeLocationAddressFaxNumber": "516-279-4610",
"EnumerationDate": "12/18/2008",
"LastUpdateDate": "03/17/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JENSIS-CARLSON",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "516-248-8188",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "N005090",
"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."
}
}
}
}