{
"Npi": {
"NPI": "1952617995",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALEXEEVA",
"FirstName": "VLADA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ALEXEEVA",
"OtherFirstName": "VLADA",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "31 MARWOOD RD N",
"SecondLineMailingAddress": "B",
"MailingAddressCityName": "PORT WASHINGTON",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11050-1419",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-467-4449",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "100 CHARLES LINDBERGH BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "UNIONDALE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11553-3631",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-512-5200",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/27/2010",
"LastUpdateDate": "01/24/2014",
"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": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207ZP0102X",
"TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
"LicenseNumber": "262201",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}