{
"Npi": {
"NPI": "1790027001",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VIRAJ V. GADKAR D.M.D. 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": "5 ALBERGO LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SYOSSET",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11791-3847",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-729-6355",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "245 NASSAU RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROOSEVELT",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11575-1736",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-868-1892",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/25/2013",
"LastUpdateDate": "03/25/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GADKAR",
"AuthorizedOfficialFirstName": "VIRAJ",
"AuthorizedOfficialMiddleName": "V",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.M.D.",
"AuthorizedOfficialTelephoneNumber": "516-868-1892",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "054052",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}