{
"Npi": {
"NPI": "1780976613",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADVANCED ALLERGY AND ASTHMA CARE OF WESTERN NEW YORK P.C.",
"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": "333 INTERNATIONAL DR",
"SecondLineMailingAddress": "SUITE B1",
"MailingAddressCityName": "WILLIAMSVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14221-5726",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-633-5277",
"MailingAddressFaxNumber": "716-633-5270",
"FirstLinePracticeLocationAddress": "333 INTERNATIONAL DR",
"SecondLinePracticeLocationAddress": "SUITE B1",
"PracticeLocationAddressCityName": "WILLIAMSVILLE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14221-5726",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-633-5277",
"PracticeLocationAddressFaxNumber": "716-633-5270",
"EnumerationDate": "05/11/2011",
"LastUpdateDate": "05/11/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CUMELLA",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "CHARLES",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "716-633-5277",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207K00000X",
"TaxonomyName": "Allergy & Immunology Physician",
"LicenseNumber": "140792",
"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."
}
}
}
}