{
  "npi": "1699389163",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-05-24",
    "credential": "MD, MSc, PhD",
    "enumeration_date": "2020-09-02",
    "first_name": "ABUL KALAM",
    "last_name": "AZAD",
    "last_updated": "2021-05-24",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1635 POPLAR ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BRONX",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "104612600",
      "state": "NY",
      "telephone_number": "718-405-8109"
    },
    {
      "address_1": "1641 METROPOLITAN AVE APT 3A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BRONX",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "104626263",
      "state": "NY",
      "telephone_number": "713-815-1105"
    }
  ],
  "taxonomies": [
    {
      "code": "207SC0300X",
      "desc": "Medical Genetics, Clinical Cytogenetic",
      "license": "AZADA1",
      "primary": false,
      "state": "NY",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207SG0203X",
      "desc": "Medical Genetics, Clinical Molecular Genetics",
      "license": "AZADA1",
      "primary": false,
      "state": "NY",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207SM0001X",
      "desc": "Medical Genetics, Molecular Genetic Pathology",
      "license": "AZADA1",
      "primary": false,
      "state": "NY",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "247ZC0005X",
      "desc": "Pathology, Clinical Laboratory Director, Non-physician",
      "license": "AZADA1",
      "primary": false,
      "state": "NY",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207SG0205X",
      "desc": "Medical Genetics, Ph.D. Medical Genetics",
      "license": "AZADA1",
      "primary": true,
      "state": "NY",
      "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 — Medical Genetics — Ph.D. Medical Genetics",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "D3",
        "medicare_type": "Medical Genetics and Genomics"
      }
    ]
  }
}