{
  "npi": "1336781301",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "ALEXANDRA",
    "authorized_official_last_name": "KIMBALL",
    "authorized_official_middle_name": "BOER",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "6176327441",
    "authorized_official_title_or_position": "Chief Executive Officer",
    "enumeration_date": "2019-10-11",
    "last_updated": "2019-10-11",
    "organization_name": "ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "375 LONGWOOD AVE STE 3",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BOSTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "022155395",
      "state": "MA",
      "telephone_number": "617-632-7441"
    },
    {
      "address_1": "199 REEDSDALE RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MILTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "021863926",
      "state": "MA",
      "telephone_number": "617-696-4600"
    }
  ],
  "taxonomies": [
    {
      "code": "207ZP0102X",
      "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
      "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": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "22",
        "medicare_type": "Physician/Pathology"
      }
    ]
  }
}