{
"Npi": {
"NPI": "1710275821",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COXSACKIE TRANSPORT, INC.",
"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": "11 WAYNE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COXSACKIE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12051-1336",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-731-8242",
"MailingAddressFaxNumber": "518-731-1092",
"FirstLinePracticeLocationAddress": "250 MANSION ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COXSACKIE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12051-1605",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "518-731-8242",
"PracticeLocationAddressFaxNumber": "518-731-1092",
"EnumerationDate": "07/11/2011",
"LastUpdateDate": "07/11/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARKS",
"AuthorizedOfficialFirstName": "WAYNE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "518-731-8242",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "344600000X",
"TaxonomyName": "Taxi",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "343800000X",
"TaxonomyName": "Secured Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "347B00000X",
"TaxonomyName": "Bus",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}