{
"Npi": {
"NPI": "1912121104",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BOSTON MEDICAL CENTER",
"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": "850 HARRISON AVE",
"SecondLineMailingAddress": "ORTHOPEDIC SURGERY DEPARTMENT, DOWLING 2 NORTH",
"MailingAddressCityName": "BOSTON",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02118-4001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "617-414-6321",
"MailingAddressFaxNumber": "617-414-5797",
"FirstLinePracticeLocationAddress": "850 HARRISON AVE",
"SecondLinePracticeLocationAddress": "ORTHOPEDIC SURGERY DEPARTMENT, DOWLING 2 NORTH",
"PracticeLocationAddressCityName": "BOSTON",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "02118-4001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "617-414-6321",
"PracticeLocationAddressFaxNumber": "617-414-5797",
"EnumerationDate": "04/12/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOSPEH",
"AuthorizedOfficialFirstName": "GISBERTE",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NP",
"AuthorizedOfficialTelephoneNumber": "617-414-6321",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "207X00000X",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}