{
"Npi": {
"NPI": "1164636510",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MONALOY GARBIN",
"FirstName": "GAIL",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MA CCCSLP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MONALOY",
"OtherFirstName": "GAIL",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MA CCCSLP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "140 HEPBURN ROAD",
"SecondLineMailingAddress": "(APT. 9D)",
"MailingAddressCityName": "CLIFTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07012",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-773-7626",
"MailingAddressFaxNumber": "973-773-7626",
"FirstLinePracticeLocationAddress": "140 HEPBURN ROAD",
"SecondLinePracticeLocationAddress": "(APT. 9D)",
"PracticeLocationAddressCityName": "CLIFTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07012",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-773-7626",
"PracticeLocationAddressFaxNumber": "973-773-7626",
"EnumerationDate": "05/09/2007",
"LastUpdateDate": "06/10/2009",
"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": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "41YS00058200",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "000510-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}