{
"Npi": {
"NPI": "1558466987",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JAFFE EYE INSTITUTE PA",
"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": "2801 NE 213TH ST STE 1006",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AVENTURA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33180-1266",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-945-7433",
"MailingAddressFaxNumber": "305-933-0895",
"FirstLinePracticeLocationAddress": "2801 NE 213TH ST STE 1006",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AVENTURA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33180-1266",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-945-7433",
"PracticeLocationAddressFaxNumber": "305-933-0895",
"EnumerationDate": "09/13/2006",
"LastUpdateDate": "09/09/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORRISON",
"AuthorizedOfficialFirstName": "LACENDRA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "BILLING MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-653-6500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "ME38393",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}