{
"Npi": {
"NPI": "1598176174",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANDREW C. NEWMAN, D.D.S.,P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"FirstLineMailingAddress": "1955 MERRICK RD",
"SecondLineMailingAddress": "SUITE 206",
"MailingAddressCityName": "MERRICK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11566-4635",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-377-7727",
"MailingAddressFaxNumber": "516-377-7296",
"FirstLinePracticeLocationAddress": "1955 MERRICK RD",
"SecondLinePracticeLocationAddress": "SUITE 206",
"PracticeLocationAddressCityName": "MERRICK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11566-4635",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-377-7727",
"PracticeLocationAddressFaxNumber": "516-377-7296",
"EnumerationDate": "05/16/2014",
"LastUpdateDate": "05/16/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEWMAN",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.D.S.",
"AuthorizedOfficialTelephoneNumber": "516-377-7727",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223X0400X",
"TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
"LicenseNumber": "033187",
"LicenseNumberStateCode": "NY",
"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."
}
}
}
}