{
"Npi": {
"NPI": "1598298895",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHALEFF",
"FirstName": "ALEC",
"MiddleName": "JORDAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "201 NW 82ND AVE STE 406",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLANTATION",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33324-7808",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "754-312-5105",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "201 NW 82ND AVE STE 406",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PLANTATION",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33324-7808",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "754-312-5105",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/04/2017",
"LastUpdateDate": "01/29/2024",
"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": "207WX0120X",
"TaxonomyName": "Cornea and External Diseases Specialist Physician",
"LicenseNumber": "ME154232",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "ME154232",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}