{
"Npi": {
"NPI": "1750412706",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW YORK ORTHOPEDIC SPECIALISTS PC",
"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": "1 DEER PARK MEADOW RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENWICH",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06830-3804",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-629-3428",
"MailingAddressFaxNumber": "914-725-3291",
"FirstLinePracticeLocationAddress": "700 WHITE PLAINS RD",
"SecondLinePracticeLocationAddress": "SUITE 10",
"PracticeLocationAddressCityName": "SCARSDALE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10583",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-723-4244",
"PracticeLocationAddressFaxNumber": "914-725-3291",
"EnumerationDate": "03/08/2007",
"LastUpdateDate": "05/14/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAIG",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "VANDERWINK",
"AuthorizedOfficialTitle": "MD OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "914-723-4244",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207X00000X",
"TaxonomyName": "Orthopaedic Surgery Physician",
"LicenseNumber": "168044",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}