{
  "npi": "1154528180",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "Board Certified Orth",
    "authorized_official_first_name": "ANTHONY",
    "authorized_official_last_name": "CORSENTINO",
    "authorized_official_middle_name": "P",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5162924105",
    "authorized_official_title_or_position": "President/Orthotist",
    "enumeration_date": "2007-07-02",
    "last_updated": "2009-04-22",
    "organization_name": "A-1 SURGICAL AND MEDICAL SUPPLIES INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "30 E JEFFERSON AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MINEOLA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "516-873-7904",
      "postal_code": "115013123",
      "state": "NY",
      "telephone_number": "516-741-1087"
    },
    {
      "address_1": "54 MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HEMPSTEAD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "115504051",
      "state": "NY",
      "telephone_number": "516-292-4105"
    }
  ],
  "taxonomies": [
    {
      "code": "174400000X",
      "desc": "Specialist",
      "license": "222Z00000X",
      "primary": true,
      "state": "NY",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)",
    "certifying_board": "American Board of Pediatrics (ABP)",
    "cms_medicare_crosswalk": []
  }
}