{"npi":"1124590641","type":"NPI-2","status":"active","name":{"display":"Bronx Borough Medical Practice PC","other":[],"organization_name":"BRONX BOROUGH MEDICAL PRACTICE PC","authorised_official":"Mack Sullivan"},"specialty":{"primary_taxonomy":"2081P2900X","primary_taxonomy_description":"Pain Medicine (Physical Medicine & Rehabilitation) Physician","slug":"pain-medicine-physical-medicine-rehabilitation-physician","schema_org_specialty":null,"all":[{"code":"207RS0010X","description":"Sports Medicine (Internal Medicine) Physician","primary":false,"state":null,"license":null},{"code":"2081P2900X","description":"Pain Medicine (Physical Medicine & Rehabilitation) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2494 WILLIAMSBRIDGE RD","city":"BRONX","state":"NY","postal_code":"104694806","country_code":"US","phone":"9143953691"},{"purpose":"MAILING","street_1":"369 WHITE PLAINS RD STE B","city":"EASTCHESTER","state":"NY","postal_code":"107092805","country_code":"US","phone":"9143953691"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"115019","state":"NY","issuer":"LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-12-21","last_updated":"2018-12-21","_meta":{"source":"NPPES","snapshot_date":"2018-12-21","doc_url":"https://findmynpi.com/api"}}