{
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"FirstLineMailingAddress": "62 WOODWARD LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BASKING RIDGE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07920-2723",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-710-3843",
"MailingAddressFaxNumber": "908-647-3293",
"FirstLinePracticeLocationAddress": "554 BOULEVARD",
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"PracticeLocationAddressCityName": "ELMWOOD PARK",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07407-2031",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "201-797-4500",
"PracticeLocationAddressFaxNumber": "201-797-8005",
"EnumerationDate": "03/23/2010",
"LastUpdateDate": "03/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DHILLON",
"AuthorizedOfficialFirstName": "ARVINDER",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "781-710-3843",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2081P2900X",
"TaxonomyName": "Pain Medicine (Physical Medicine & Rehabilitation) Physician",
"LicenseNumber": "25MA08404400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}