{
"Npi": {
"NPI": "1649296500",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZBOINSKI",
"FirstName": "JOHN",
"MiddleName": "L",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DPM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "29 MOUNTAIN TOP RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STORMVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12582-5532",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-489-8793",
"MailingAddressFaxNumber": "845-876-0218",
"FirstLinePracticeLocationAddress": "29 MOUNTAIN TOP RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STORMVILLE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12582-5532",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "144-898-7939",
"PracticeLocationAddressFaxNumber": "845-876-0218",
"EnumerationDate": "07/14/2006",
"LastUpdateDate": "07/14/2025",
"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": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "00089",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "N005181-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}