{
"Npi": {
"NPI": "1992931687",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HAMDEN SLEEP DISORDERS CENTER LLC",
"ParentOrgTIN": null,
"OrgName": "HAMDEN SLEEP DISORDERS CENTER LLC",
"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": "19 TULIP TREE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WOODBRIDGE",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06525-1414",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-676-0323",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14 BUSINESS PARK DR",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "BRANFORD",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06405-2909",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-643-0620",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/08/2009",
"LastUpdateDate": "11/18/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUPTA",
"AuthorizedOfficialFirstName": "NEELAM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-643-0620",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS1200X",
"TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}