{
"Npi": {
"NPI": "1104343094",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GIBBONS",
"FirstName": "ERIN",
"MiddleName": "J",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "APN, WHNP-BC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GUZMAN",
"OtherFirstName": "ERIN",
"OtherMiddleName": "J",
"OtherNamePrefix": "MRS.",
"OtherNameSuffix": null,
"OtherCredential": "APN, WHNP-BC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "227 LAUREL RD",
"SecondLineMailingAddress": "STE 300",
"MailingAddressCityName": "VOORHEES",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08043-8303",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-822-3879",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "15 JAMES ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FLORHAM PARK",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07932",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-822-3879",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/23/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LW0102X",
"TaxonomyName": "Women's Health Nurse Practitioner",
"LicenseNumber": "26NO00752600",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}