{
  "npi": "1861756116",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MARIELA",
    "authorized_official_last_name": "PENA",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7185227300",
    "authorized_official_title_or_position": "Compliance Coordinator",
    "enumeration_date": "2012-07-02",
    "last_updated": "2012-07-02",
    "organization_name": "ALL ABOUT KIDS",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5 BRAKEMAN CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HIGHTSTOWN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "085203064",
      "state": "NJ",
      "telephone_number": "609-443-0028"
    },
    {
      "address_1": "255 EXECUTIVE DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PLAINVIEW",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "118031718",
      "state": "NY",
      "telephone_number": "516-576-0962"
    }
  ],
  "taxonomies": [
    {
      "code": "305R00000X",
      "desc": "Preferred Provider Organization",
      "license": "884497991",
      "primary": false,
      "state": "NY",
      "taxonomy_group": ""
    },
    {
      "code": "252Y00000X",
      "desc": "Early Intervention Provider Agency",
      "license": "884497991",
      "primary": true,
      "state": "NY",
      "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 Early Intervention Provider Agency",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}