{
  "npi": "1407247240",
  "enumeration_type": "NPI-1",
  "basic": {
    "enumeration_date": "2015-02-16",
    "first_name": "JOHN",
    "last_name": "AFFENITA",
    "last_updated": "2015-03-16",
    "name_prefix": "--",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "285 SILLS RD",
      "address_2": "BLDG 3 SUITE D",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EAST PATCHOGUE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "877-366-5492",
      "postal_code": "117724869",
      "state": "NY",
      "telephone_number": "631-438-1075"
    },
    {
      "address_1": "8333 W MCNAB RD",
      "address_2": "STE 228",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TAMARAC",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "877-366-5492",
      "postal_code": "333213242",
      "state": "FL",
      "telephone_number": "877-776-8400"
    }
  ],
  "taxonomies": [
    {
      "code": "222Z00000X",
      "desc": null,
      "license": "POR 160",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "224P00000X",
      "desc": "Prosthetist",
      "license": "POR 160",
      "primary": false,
      "state": "FL",
      "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": "Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Orthotist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "55",
        "medicare_type": "Individual Certified Orthotist"
      },
      {
        "medicare_code": "57",
        "medicare_type": "Individual Certified Prosthetist-Orthotist"
      },
      {
        "medicare_code": "B2",
        "medicare_type": "Pedorthic personnel"
      }
    ]
  }
}