{
"Npi": {
"NPI": "1679350979",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BASSI",
"FirstName": "RATESH",
"MiddleName": null,
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1001 MAIN STREET GREAT LAKES ANESTHESIOLOGY, PC",
"SecondLineMailingAddress": "SUITE K 3502",
"MailingAddressCityName": "BUFFALO",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14203-1010",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-323-6576",
"MailingAddressFaxNumber": "716-323-6659",
"FirstLinePracticeLocationAddress": "GREAT LAKES ANESTHESIOLOGY, PC JOHN R. OISHEI CHILDRENS",
"SecondLinePracticeLocationAddress": "818 ELLICOTT STREET",
"PracticeLocationAddressCityName": "BUFFALO",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-323-6572",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/11/2023",
"LastUpdateDate": "03/10/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "04/17/2024",
"NPIReactivationDate": "03/10/2026",
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207L00000X",
"TaxonomyName": "Anesthesiology Physician",
"LicenseNumber": "P123698",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}