{
"Npi": {
"NPI": "1619161171",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "ERENA TRESKOVA AND CO., LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "22 GREAT HALL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAHWAH",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07430-2593",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-679-4295",
"MailingAddressFaxNumber": "201-444-4899",
"FirstLinePracticeLocationAddress": "682 E MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIDDLETOWN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10940-2646",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "845-341-0264",
"PracticeLocationAddressFaxNumber": "845-343-0962",
"EnumerationDate": "08/28/2007",
"LastUpdateDate": "08/28/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRESKOVA",
"AuthorizedOfficialFirstName": "ERENA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MD",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "201-679-4295",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "202101",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}