{
  "npi": "1376758441",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MARYANN",
    "authorized_official_last_name": "VIVOLO-SCLAFANI",
    "authorized_official_name_prefix": "Mrs.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9739550755",
    "authorized_official_title_or_position": "Office Manager",
    "enumeration_date": "2007-05-11",
    "last_updated": "2022-07-21",
    "organization_name": "CHIROPRACTIC & REHABILITATION CENTER PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "517 RIVER DR STE 2A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GARFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "973-955-0753",
      "postal_code": "070263270",
      "state": "NJ",
      "telephone_number": "973-955-0755"
    },
    {
      "address_1": "517 RIVER DR STE 2A",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GARFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "973-955-0753",
      "postal_code": "070263270",
      "state": "NJ",
      "telephone_number": "973-955-0755"
    }
  ],
  "taxonomies": [
    {
      "code": "111NR0400X",
      "desc": "Chiropractor, Rehabilitation",
      "license": "38MC00505700",
      "primary": true,
      "state": "NJ",
      "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 Chiropractic Providers — Chiropractor, Rehabilitation",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "35",
        "medicare_type": "Chiropractic"
      }
    ]
  }
}