{
"Npi": {
"NPI": "1508119744",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RAY",
"FirstName": "PIYALI",
"MiddleName": "DAS",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SENGUPTA",
"OtherFirstName": "PIYALI",
"OtherMiddleName": "DAS",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "M.D",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6535 NEMOURS PKWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ORLANDO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32827-7884",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "361-549-4349",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1324 LAKELAND HILLS BLVD STE A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKELAND",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33805-4543",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "361-549-4349",
"PracticeLocationAddressFaxNumber": "407-650-7256",
"EnumerationDate": "10/25/2012",
"LastUpdateDate": "10/31/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "08/12/2022",
"NPIReactivationDate": "10/03/2022",
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "P3241",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080P0206X",
"TaxonomyName": "Pediatric Gastroenterology Physician",
"LicenseNumber": "P3241",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080P0206X",
"TaxonomyName": "Pediatric Gastroenterology Physician",
"LicenseNumber": "A157614",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "2080P0206X",
"TaxonomyName": "Pediatric Gastroenterology Physician",
"LicenseNumber": "ME137577",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}