{
"Npi": {
"NPI": "1891860417",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCHARF",
"FirstName": "MILDRED",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "N.P.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "EHRENFELD",
"OtherFirstName": "MILDRED",
"OtherMiddleName": null,
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "448 GRIFFING AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RIVERHEAD",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11901-3012",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-369-7080",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "448 GRIFFING AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIVERHEAD",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11901-3012",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-909-8030",
"PracticeLocationAddressFaxNumber": "631-207-8353",
"EnumerationDate": "11/21/2006",
"LastUpdateDate": "05/02/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363LX0001X",
"TaxonomyName": "Obstetrics & Gynecology Nurse Practitioner",
"LicenseNumber": "F420078",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "F420078",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}