{
"Npi": {
"NPI": "1548667975",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRIVIUM OF NEW YORK",
"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": "90 HEATHCOTE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ELMONT",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11003-1405",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-223-9228",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1216 E 86TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROOKLYN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11236-4928",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "877-223-9228",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/01/2014",
"LastUpdateDate": "04/24/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOUGLAS",
"AuthorizedOfficialFirstName": "NIGEL",
"AuthorizedOfficialMiddleName": "ONIKO",
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OWNER",
"AuthorizedOfficialTelephoneNumber": "877-223-9228",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}