{
  "npi": "1154749521",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-06-05",
    "credential": "MD",
    "enumeration_date": "2014-04-02",
    "first_name": "LEA",
    "last_name": "BELLOMO",
    "last_updated": "2024-06-05",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4601 N FEDERAL HWY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BOCA RATON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "334315133",
      "state": "FL",
      "telephone_number": "561-462-4808"
    },
    {
      "address_1": "2700 WESTCHESTER AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PURCHASE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "914-848-8629",
      "postal_code": "105772547",
      "state": "NY",
      "telephone_number": "914-848-8840"
    }
  ],
  "taxonomies": [
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": "293604",
      "primary": true,
      "state": "NY",
      "taxonomy_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 Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)",
    "certifying_board": "American Board of Dermatology (ABD)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "07",
        "medicare_type": "Physician/Dermatology"
      }
    ]
  }
}