{
  "npi": "1306217971",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DANIEL",
    "authorized_official_last_name": "ROSHAN",
    "authorized_official_telephone_number": "2122493949",
    "authorized_official_title_or_position": "MD",
    "certification_date": "2023-03-01",
    "enumeration_date": "2015-10-08",
    "last_updated": "2023-03-01",
    "organization_name": "67TH STREET OB GYN PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "115 E 67TH ST APT 1A",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NEW YORK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "312-602-9799",
      "postal_code": "100655990",
      "state": "NY",
      "telephone_number": "212-249-3949"
    },
    {
      "address_1": "PO BOX 645990",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CINCINNATI",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "212-249-3916",
      "postal_code": "452645990",
      "state": "OH",
      "telephone_number": "212-249-3949"
    }
  ],
  "taxonomies": [
    {
      "code": "207V00000X",
      "desc": "Obstetrics & Gynecology",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-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 Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)",
    "certifying_board": "American Board of Obstetrics and Gynecology (ABOG)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "16",
        "medicare_type": "Physician/Obstetrics & Gynecology"
      }
    ]
  }
}