{
  "npi": "1508643610",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "SARAH",
    "authorized_official_last_name": "SANFORD",
    "authorized_official_telephone_number": "2125168204",
    "authorized_official_title_or_position": "Member Manager",
    "certification_date": "2025-02-04",
    "enumeration_date": "2023-09-12",
    "last_updated": "2025-02-04",
    "organization_name": "787 ORTHO ASC LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "787 11TH AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NEW YORK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "100193584",
      "state": "NY",
      "telephone_number": "475-477-5188"
    },
    {
      "address_1": "63 COPPS HILL RD UNIT 22A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RIDGEFIELD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "068774050",
      "state": "CT"
    }
  ],
  "taxonomies": [
    {
      "code": "261QA1903X",
      "desc": "Clinic/Center, Ambulatory Surgical",
      "license": null,
      "primary": true,
      "state": null,
      "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": {
    "total_beneficiaries": "11",
    "total_services": "13",
    "total_medicare_allowed_amt": "54184.45",
    "top_hcpcs_services": []
  },
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "49",
        "medicare_type": "Ambulatory Surgical Center"
      }
    ]
  }
}