{"npi":"1164575478","type":"NPI-2","status":"active","name":{"display":"Avenue U Orthodontics, PLLC","other":[],"organization_name":"AVENUE U ORTHODONTICS, PLLC","authorised_official":"Oleg Drut"},"specialty":{"primary_taxonomy":"1223X0400X","primary_taxonomy_description":"Orthodontics and Dentofacial Orthopedics Dentistry","slug":"orthodontics-and-dentofacial-orthopedics-dentistry","schema_org_specialty":null,"all":[{"code":"1223X0400X","description":"Orthodontics and Dentofacial Orthopedics Dentistry","primary":false,"state":"NJ","license":"DI20707"},{"code":"1223X0400X","description":"Orthodontics and Dentofacial Orthopedics Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"79 AVENUE U","city":"BROOKLYN","state":"NY","postal_code":"112233554","country_code":"US","phone":"7183736707","fax":"8882927017"},{"purpose":"MAILING","street_1":"15 ENGLE STREET","city":"ENGLEWOOD","state":"NJ","postal_code":"076312936","country_code":"US","street_2":"SUITE 204","phone":"2013088181","fax":"8882927017"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0045063","state":"NJ","issuer":null},{"type_code":"05","label":"Medicaid","value":"03128943","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-19","last_updated":"2020-08-31","_meta":{"source":"NPPES","snapshot_date":"2020-08-31","doc_url":"https://findmynpi.com/api"}}