{
"Npi": {
"NPI": "1568220002",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROTHMAN",
"FirstName": "KALMAN",
"MiddleName": "D",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ROTHMAN",
"OtherFirstName": "KAL",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 413",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SUFFERN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10901-0413",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-447-6020",
"MailingAddressFaxNumber": "845-627-3220",
"FirstLinePracticeLocationAddress": "55 OLD TURNPIKE RD STE 106",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NANUET",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10954-2449",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "820-144-7602",
"PracticeLocationAddressFaxNumber": "845-627-3220",
"EnumerationDate": "03/11/2024",
"LastUpdateDate": "03/11/2024",
"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": "183500000X",
"TaxonomyName": "Pharmacist",
"LicenseNumber": "025996",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}