{
"Npi": {
"NPI": "1790076933",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CHEAPER PEEPERS OF NEW YORK MDIV, INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1441 JERICHO TPKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW HYDE PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11040-4614",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-502-4552",
"MailingAddressFaxNumber": "516-502-4554",
"FirstLinePracticeLocationAddress": "1441 JERICHO TPKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW HYDE PARK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11040-4614",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-502-4552",
"PracticeLocationAddressFaxNumber": "516-502-4554",
"EnumerationDate": "04/21/2011",
"LastUpdateDate": "04/21/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DOHERTY",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "51685252473",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "2583",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}