{
"Npi": {
"NPI": "1932347879",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RAYMOND T. JONES 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": "20507 HILLSIDE AVE",
"SecondLineMailingAddress": "SUITE #4",
"MailingAddressCityName": "HOLLIS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11423-2220",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-740-4066",
"MailingAddressFaxNumber": "718-740-3789",
"FirstLinePracticeLocationAddress": "20507 HILLSIDE AVE",
"SecondLinePracticeLocationAddress": "SUITE #4",
"PracticeLocationAddressCityName": "HOLLIS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11423-2220",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-740-4066",
"PracticeLocationAddressFaxNumber": "718-740-3789",
"EnumerationDate": "01/30/2009",
"LastUpdateDate": "01/30/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
"AuthorizedOfficialFirstName": "RAYMOND",
"AuthorizedOfficialMiddleName": "TROY",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "718-740-4066",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "188771",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}