{
"Npi": {
"NPI": "1609246503",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "535 E 70TH ST",
"SecondLineMailingAddress": "PHARMACY",
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10021-4823",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-606-1371",
"MailingAddressFaxNumber": "212-628-4652",
"FirstLinePracticeLocationAddress": "535 E 70TH ST",
"SecondLinePracticeLocationAddress": "PHARMACY",
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10021-4823",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "212-606-1371",
"PracticeLocationAddressFaxNumber": "212-628-4652",
"EnumerationDate": "10/05/2015",
"LastUpdateDate": "10/05/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YIP",
"AuthorizedOfficialFirstName": "TINA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF PHARMACY OFFICER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D., RPH",
"AuthorizedOfficialTelephoneNumber": "212-606-1371",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "003997",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}