{
"Npi": {
"NPI": "1568670412",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EAR CARE HEARING AID CENTER",
"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": "1229 ROUTE 300",
"SecondLineMailingAddress": "SUITE 4",
"MailingAddressCityName": "NEWBURGH",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12550",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "845-567-2480",
"MailingAddressFaxNumber": "845-567-2482",
"FirstLinePracticeLocationAddress": "1229 ROUTE 300",
"SecondLinePracticeLocationAddress": "SUITE 4",
"PracticeLocationAddressCityName": "NEWBURGH",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12550",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-567-2480",
"PracticeLocationAddressFaxNumber": "845-567-2482",
"EnumerationDate": "05/21/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BRECHEISEN",
"AuthorizedOfficialFirstName": "DAMON",
"AuthorizedOfficialMiddleName": "THOMAS",
"AuthorizedOfficialTitle": "OWNER OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "HEARING SPECIALIST",
"AuthorizedOfficialTelephoneNumber": "845-567-2480",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "15000012029",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}