{
"Npi": {
"NPI": "1154568434",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BERGEN COUNTY BOARD OF VOCATIONAL EDUCATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10 EXCHANGE PL FL 17",
"SecondLineMailingAddress": "C/O NW INSURANCE",
"MailingAddressCityName": "JERSEY CITY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07302-4929",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-656-0115",
"MailingAddressFaxNumber": "201-656-4905",
"FirstLinePracticeLocationAddress": "327 E RIDGEWOOD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PARAMUS",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07652-4819",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "201-634-2602",
"PracticeLocationAddressFaxNumber": "201-634-3020",
"EnumerationDate": "01/08/2009",
"LastUpdateDate": "06/04/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICCARDELLA",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EMS DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "201-634-2602",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "R0211083",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}