{
"Npi": {
"NPI": "1902915044",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DANA O. MONACO, MD, PC",
"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": "2 SAINT CLAIR ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LYNBROOK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11563-1719",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-766-8600",
"MailingAddressFaxNumber": "516-766-8858",
"FirstLinePracticeLocationAddress": "2000 N VILLAGE AVE",
"SecondLinePracticeLocationAddress": "SUITE 209",
"PracticeLocationAddressCityName": "ROCKVILLE CENTRE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11570-1078",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-766-8600",
"PracticeLocationAddressFaxNumber": "516-766-8858",
"EnumerationDate": "08/30/2006",
"LastUpdateDate": "03/22/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MONACO",
"AuthorizedOfficialFirstName": "DANA",
"AuthorizedOfficialMiddleName": "O.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "516-766-8600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "163611-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}