{
"Npi": {
"NPI": "1902081342",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LAWRENCE CASSANO",
"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": "285 SILLS RD",
"SecondLineMailingAddress": "SUITE 10-A",
"MailingAddressCityName": "EAST PATCHOGUE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11772-4869",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-447-9263",
"MailingAddressFaxNumber": "631-758-1904",
"FirstLinePracticeLocationAddress": "285 SILLS RD",
"SecondLinePracticeLocationAddress": "SUITE 10-A",
"PracticeLocationAddressCityName": "EAST PATCHOGUE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11772-4869",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-447-9263",
"PracticeLocationAddressFaxNumber": "631-758-8249",
"EnumerationDate": "01/04/2008",
"LastUpdateDate": "11/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CASSANO",
"AuthorizedOfficialFirstName": "LAWRENCE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "631-447-9263",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "N004610",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}