{
"Npi": {
"NPI": "1639269004",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MARIA N. SOLITO MD LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12425 OLD MERIDIAN ST",
"SecondLineMailingAddress": "SUITE B2",
"MailingAddressCityName": "CARMEL",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46032-8724",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-566-3422",
"MailingAddressFaxNumber": "317-566-9111",
"FirstLinePracticeLocationAddress": "12425 OLD MERIDIAN ST",
"SecondLinePracticeLocationAddress": "SUITE B2",
"PracticeLocationAddressCityName": "CARMEL",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46032-8724",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-566-3422",
"PracticeLocationAddressFaxNumber": "317-566-9111",
"EnumerationDate": "10/13/2006",
"LastUpdateDate": "07/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SOLITO",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "NINNA",
"AuthorizedOfficialTitle": "PHYSIATRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "317-566-3422",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302F00000X",
"TaxonomyName": "Exclusive Provider Organization",
"LicenseNumber": "01051472",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}