{
"Npi": {
"NPI": "1811354392",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "RSB ASSOCIATES D.B.A. ARLYNE E RUSSO",
"ParentOrgTIN": null,
"OrgName": "RSB ASSOCIATES D.B.A. ARLYNE E RUSSO",
"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": "1481 FAIRFIELD BEACH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAIRFIELD",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06824-6520",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-255-5604",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1481 FAIRFIELD BEACH RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FAIRFIELD",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06824-6520",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-255-5604",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/28/2016",
"LastUpdateDate": "01/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUSSO",
"AuthorizedOfficialFirstName": "ARLYNE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "SPEECH-LANGUAGE PATHOLOGIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "SLP",
"AuthorizedOfficialTelephoneNumber": "203-255-5604",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0700X",
"TaxonomyName": "Hearing and Speech Clinic/Center",
"LicenseNumber": "0343",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}