{
  "npi": "1972997310",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "AMANDA",
    "authorized_official_last_name": "WEISS",
    "authorized_official_telephone_number": "8009363256",
    "authorized_official_title_or_position": "Administrator",
    "certification_date": "2025-10-23",
    "enumeration_date": "2015-03-24",
    "last_updated": "2025-10-23",
    "organization_name": "7TH & MADISON EXTENSIONS OF EMPOWERMENT",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 372",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHATHAM",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "800-936-3256",
      "postal_code": "079280372",
      "state": "NJ",
      "telephone_number": "800-936-3256"
    },
    {
      "address_1": "211 WARREN ST STE 223",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NEWARK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "877-413-9752",
      "postal_code": "071033568",
      "state": "NJ",
      "telephone_number": "800-936-3256"
    }
  ],
  "taxonomies": [
    {
      "code": "320900000X",
      "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "225400000X",
      "desc": "Rehabilitation Practitioner",
      "license": null,
      "primary": true,
      "state": null,
      "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 Rehabilitation Practitioner",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}