{
"Npi": {
"NPI": "1588956247",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALMANZAR MOREL",
"FirstName": "ALEXANDRA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "300 TWO MILE CREEK RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TONAWANDA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14150-6618",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-447-6450",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "101 CEDAR ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MILFORD",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01757-1101",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-634-3100",
"PracticeLocationAddressFaxNumber": "508-453-8233",
"EnumerationDate": "05/12/2011",
"LastUpdateDate": "08/22/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"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": "258402",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}