{"npi":"1982608493","type":"NPI-2","status":"active","name":{"display":"Eastside Orthotics And Prosthetics, Inc.","other":[],"organization_name":"EASTSIDE ORTHOTICS AND PROSTHETICS, INC.","authorised_official":"Matthew Flynn"},"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":null,"license":null},{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"622 W 168TH ST","city":"NEW YORK","state":"NY","postal_code":"10032","country_code":"US","street_2":"VC333","phone":"2123053275","fax":"2123055927"},{"purpose":"MAILING","street_1":"34 COMMERCE DR","city":"RIVERHEAD","state":"NY","postal_code":"119013174","country_code":"US","street_2":"SUITE 200","phone":"6317278735","fax":"6317276834"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"01052611","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-13","last_updated":"2007-09-19","_meta":{"source":"NPPES","snapshot_date":"2007-09-19","doc_url":"https://findmynpi.com/api"}}