{"npi":"1659383032","type":"NPI-2","status":"active","name":{"display":"Prosthetic Professionals, Inc.","other":[],"organization_name":"PROSTHETIC PROFESSIONALS, INC.","authorised_official":"Tulio Rivera"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":"NY","license":"CPO02645"},{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":"NY","license":"CPO02645"}]},"addresses":[{"purpose":"LOCATION","street_1":"355 OVINGTON AVE","city":"BROOKLYN","state":"NY","postal_code":"112091483","country_code":"US","street_2":"SUITE 104","phone":"7187484880","fax":"7187484884"},{"purpose":"MAILING","street_1":"355 OVINGTON AVE","city":"BROOKLYN","state":"NY","postal_code":"112091483","country_code":"US","street_2":"SUITE 104","phone":"7187484880","fax":"7187484884"}],"license":{"state":"NY","number":"CPO02645"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"02706090","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-13","last_updated":"2008-04-29","_meta":{"source":"NPPES","snapshot_date":"2008-04-29","doc_url":"https://findmynpi.com/api"}}